Provider Demographics
NPI:1780024737
Name:GAMEZ, ALYSSA M (OD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:M
Last Name:GAMEZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387-2930
Mailing Address - Country:US
Mailing Address - Phone:361-360-4434
Mailing Address - Fax:866-512-1070
Practice Address - Street 1:1150 E MARKET ST
Practice Address - Street 2:
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387-2930
Practice Address - Country:US
Practice Address - Phone:361-360-4434
Practice Address - Fax:866-512-1070
Is Sole Proprietor?:No
Enumeration Date:2013-07-04
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8204TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist