Clint Eric Gonzales, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6215TG Issued in TX

Practice address

22659 Hwy 59 North
100
Kingwood, TX 77339

Phone

(281) 858-3937

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

University of Houston - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston Optic PLLCGroup PAC ID 2163524133, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clint.gonzales@houstoneye.direct.eyemdemr.com

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.

• Houston Optic, PLLC

  • Optometrist
  • Houston, TX
  • NPI 1558476788
  Medicare reassignment Care Compare group NPD
• Houston Optic PLLC

  • Optometrist
  • Pearland, TX
  • NPI 1720464191
  NPD

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1528030780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST # 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251756",
            "telephone_number": "713-668-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22659 HWY 59 NORTH",
            "address_2": "100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-858-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "CLINT",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6215TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191037404",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clint.gonzales@houstoneye.direct.eyemd.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22659 Hwy 59 North",
            "address_2": "100",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Golden Partners, LLC
• Cheryl S Goldman, LCSW
• Heather Honore Goltz, PHD, LMSW, MED
• Nadeen Gonna
• Winter Eden Gonzales McCourt
• Leo Gonzales
• Adriana Jenifer Gonzalez, MA, LPC
• Amalia Gonzalez, BA
• Brittany Gonzalez
• Gabriel Gonzalez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.