Organization Active NPI

Gomer Hearing, LLC

Doing business as Gomer Hearing Center

  • Audiologist
  • Richardson, TX
National Provider Identifier
1629423215
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51350 Issued in TX
Legal business name
GOMER HEARING, LLC
Doing business as
Gomer Hearing Center
Practice address
4011 E Renner Rd Ste 108
Richardson, TX 75082-2917
Phone
(972) 803-8072
Fax
(214) 238-3806
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Rebecca Gomer, AUDNPI 1427314772
Title
Owner
Phone
(972) 803-8072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 51350 TX Primary

Addresses

Primary practice location

4011 E Renner Rd Ste 108
Richardson, TX 75082-2917

Mailing address

4011 E Renner Rd Ste 108
Richardson, TX 75082-2917
Phone (972) 803-8072

Other identifiers 2

IdentifierTypeStateIssuer
342114ZSLSOtherMEDICARE PTAN
1427314772OtherNPI

Other names 1

  • Gomer Hearing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160519001746 TX Part B Supplier - Clinic/Group Practice 3779872486 Receives reassigned benefits from 3 practitioners
Practice locations: Allen, TX; Richardson, TX

National Provider Directory

National Provider Directory

Locations

915 W Exchange Pkwy
Ste 180A
Allen, TX 75013
Phone (972) 747-1333

915 W Exchange Pkwy
Ste 180
Allen, TX 75013

4101 E Renner Rd
Ste 106
Richardson, TX 75082

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1629423215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 E RENNER RD STE 108",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822917",
            "telephone_number": "972-803-8072",
            "fax_number": "214-238-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 E RENNER RD STE 108",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822917",
            "telephone_number": "972-803-8072",
            "fax_number": "214-238-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMER HEARING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-03-05",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "GOMER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-803-8072",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "342114ZSLS",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427314772",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gomer Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.