Provider Demographics
NPI:1508974015
Name:POMERANZ, GARY A (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:A
Last Name:POMERANZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9468 DOUBLE R BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4808
Mailing Address - Country:US
Mailing Address - Phone:775-322-3333
Mailing Address - Fax:775-322-3340
Practice Address - Street 1:9468 DOUBLE R BLVD STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-4808
Practice Address - Country:US
Practice Address - Phone:775-322-3333
Practice Address - Fax:775-322-3340
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2011-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV3997207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVC96455Medicare UPIN