Victoria Alexandra Gutierrez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11100T Issued in TX

Practice address

1400 E Ridge Rd Ste 10
McAllen, TX 78503-1536

Phone

(956) 661-8733

Fax

(956) 661-8724

NPI assigned

May 16, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raul Adrian Pena MD PAGroup PAC ID 9739114141, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vgutierrez@penaeye.intellechartdirect.net

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

• Raul Adrian Pena MD PA

  • Ophthalmology Physician
  • McAllen, TX
  • NPI 1407037633
  Medicare reassignment Care Compare group NPD
• Ophthalmic Consultants of Texas P.a.

  • Optometrist
  • Harlingen, TX
  • NPI 1063513794
  NPD (past)

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1467201947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD STE 10",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031536",
            "telephone_number": "956-661-8733",
            "fax_number": "956-661-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD STE 10",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031536",
            "telephone_number": "956-661-8733",
            "fax_number": "956-661-8724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 N Ed Carey Dr",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508201",
            "country_code": "US",
            "telephone_number": "956-264-1200",
            "fax_number": "956-264-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "VICTORIA",
        "middle_name": "ALEXANDRA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11100T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vgutierrez@PENAEYE.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1400 E Ridge Rd Ste 10",
            "city": "McAllen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785031536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miguel Angel Gutierrez, M.D.
• Ricardo Gutierrez, NP
• Ricardo Jesus Gutierrez, P.T.A.
• Richard Gutierrez, PHARMD
• Valeria Gutierrez, PTA
• Yanelli Vianey Gutierrez, CRNA
• Abigail Guzman, SLP-ASSISTANT
• Alexandra Guzman
• Alyssa Isabel Guzman, SLP-ASSISTANT
• Ana Karen Guzman, M.ED, LPC

• Optometrist in McAllen, TX
• Providers in McAllen, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.