ALBERTO GOMEZ (OD) – Optometrist, NPI 1083303317

ALBERTO GOMEZ (OD) is a healthcare provider. based in Dewitt, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005696 (MI). The NPI Number for ALBERTO GOMEZ (OD) is 1083303317

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ALBERTO GOMEZ (OD)
NPI
1083303317
Phone
(517) 669-4411
Address
12900 S OLD US HWY 27 STE 7
Enumeration Date
3 May 2023
Last Update Date
15 June 2023

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
5176993937
Graduation Year
2023 (3 years ago)
PAC ID
4981063963
Group Practice PAC ID
8820056294
Professional Enrollment ID
I20230710000347
Address ID
MI488421367HO2040XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for ALBERTO GOMEZ (OD)

  • 12900 S OLD US HWY 27 STE 7

    DEWITT, MI 488208340

    Phone: (517) 669-4411

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $264.

Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: CooperVision Inc. ($117).

Total Amount

$264

General + Research + Ownership

Payments

9

Total payment records

General Amount

$264

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230710000347IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48820)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820056294View full group profile
NameSpecialtyState
-CO
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

How is ALBERTO GOMEZ (OD) identified in CMS data?
CMS-hosted NPPES data lists ALBERTO GOMEZ (OD) with NPI 1083303317.
Is ALBERTO GOMEZ (OD) still practicing?
ALBERTO GOMEZ (OD) is currently listed as active in the public NPI registry.
What is ALBERTO GOMEZ (OD)'s primary classification?
Optometrist is the headline specialty for ALBERTO GOMEZ (OD) here. Clinical services aligned with this taxonomy classification.
What area does ALBERTO GOMEZ (OD) serve?
ALBERTO GOMEZ (OD)'s listing highlights Dewitt, Michigan; more addresses can appear in NPPES.
Why does ALBERTO GOMEZ (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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