Gerardo Noriega, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

04854T Issued in TX

Practice address

16111 San Pedro Ave Ste 123
San Antonio, TX 78232-3063

Phone

(210) 545-5755

Fax

(210) 545-5855

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639233067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 SAN PEDRO AVE STE 123",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323063",
            "telephone_number": "210-545-5755",
            "fax_number": "210-545-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 SAN PEDRO AVE STE 123",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323063",
            "telephone_number": "210-545-5755",
            "fax_number": "210-545-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORIEGA",
        "first_name": "GERARDO",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04854T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nordstrom Inc & Subsidiaries
• Michael John Norgard, M.D.
• Noriega Dental Group PLLC
• Corinna Noriega, LVN
• Gabriella Noriega
• Rebekah Lyn Noriega, RRT
• Norma Lopez (Psychological Services)
• Norma N. Reyes DDS PPLC (Tejas Pediatric Dentistry)
• Norma S. Ruano D.D.S. PA (Sonrisas de Ninos Pediatric Dentistry)
• Andrew Norman, DO

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.