Individual provider Active NPI

Clarissa Gonzales, OD

  • Optometrist
  • McAllen, TX
National Provider Identifier
1225523574
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9534T Issued in TX
Practice address
2200 S 10TH St Ste B6
McAllen, TX 78503-5435
Phone
(956) 668-2445
Fax
(956) 630-4139
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9534T TX Primary

Addresses

Primary practice location

2200 S 10TH St Ste B6
McAllen, TX 78503-5435

Mailing address

2200 S 10TH St Ste B6
McAllen, TX 78503-5435
Phone (956) 682-4459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803002414 TX Practitioner - Optometry 0941558159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott L Helgeson OD PLLCGroup PAC ID 2860769213, 3 clinicians

Practice addresses (Care Compare)

2200 S 10TH St
Suite B6
McAllen, TX 78503-5435
Phone (956) 682-4459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9534TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott L Helgeson OD PLLC Optometrist CurrentSince Jul 9, 2018 Accepting new patients

Locations

2200 S 10th St
Ste B6
McAllen, TX 78503
Phone (956) 682-4428

Interoperability endpoints

  • Direct secure messaging: clarissa.gonzales@uprisedirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1225523574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S 10TH ST STE B6",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785035435",
            "telephone_number": "956-682-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S 10TH ST STE B6",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785035435",
            "telephone_number": "956-668-2445",
            "fax_number": "956-630-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CLARISSA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9534T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.