Provider Demographics
NPI:1508965823
Name:GARGO ENTERPRISES INC
Entity Type:Organization
Organization Name:GARGO ENTERPRISES INC
Other - Org Name:HERMANS OPTICAL
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED OPTICIAN
Authorized Official - Phone:956-421-3995
Mailing Address - Street 1:806 DIXIELAND RD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-421-3995
Mailing Address - Fax:956-425-6587
Practice Address - Street 1:806 DIXIELAND RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-421-3995
Practice Address - Fax:956-425-6587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41450156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4168010001Medicare ID - Type Unspecified