Provider Demographics
NPI:1346628393
Name:ACCESS VISION, PLLC
Entity Type:Organization
Organization Name:ACCESS VISION, PLLC
Other - Org Name:DAVID B. GOMEZ OD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR / MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:304-256-3937
Mailing Address - Street 1:1623 ROBERT C. BYRD DR.
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801
Mailing Address - Country:US
Mailing Address - Phone:304-256-3937
Mailing Address - Fax:304-256-6574
Practice Address - Street 1:1623 ROBERT C. BYRD DR.
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801
Practice Address - Country:US
Practice Address - Phone:304-256-3937
Practice Address - Fax:304-256-6574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV926IOD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty