Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alice Ballesteros Gomez, OD

Individual provider Ophthalmology Physician · NPI 1578662136

Alice Ballesteros Gomez, OD is an Optometry in Elmhurst, New York. Graduated from State University of New York - State College Optometry in 2003, 23 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

7901 Broadway Rm A1-9
Elmhurst, NY 11373-1329
Phone: (718) 334-4952
Fax: (718) 334-4815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence TUV006724 (NY)

Record details

NPI number1578662136
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESMarch 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2003 (23 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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