Misty Gawelek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9387TG Issued in TX

Practice address

601 E FM 646 Rd Ste a
League City, TX 77573-7478

Phone

(281) 337-3344

Fax

(281) 337-3340

NPI assigned

Jul 10, 2009

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sec Signature Eye Center, LLCGroup PAC ID 8123196862, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sec Signature Eye Center, LLC

  dba Signature Eye Center

  • Optometrist
  • League City, TX
  • NPI 1619125457
  Medicare reassignment Care Compare group NPD
• Joel C Razook MD P.C.

  • Ophthalmology Physician
  • Norman, OK
  • NPI 1013045301
  NPD (past)
• Joel C Razook, MD PC

  • Ophthalmology Physician
  • Norman, OK
  • NPI 1164741211

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1639308760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E FM 646 RD STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737478",
            "telephone_number": "281-337-3344",
            "fax_number": "281-337-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E FM 646 RD STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737478",
            "telephone_number": "281-337-3344",
            "fax_number": "281-337-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWELEK",
        "first_name": "MISTY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2619",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9387TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherise Gary, OTR
• Michael Charles Gary, OTR
• Bryan Garza
• James Edward Garza, M.D.
• Gateway Chiropractic Bay Colony, PLLC
• Jill Elise Gay, LCSW
• Gary L Geaccone, DDS
• Jeffrey Brian Geno, DDS,FAGD
• Dileep George
• Dipu George, PHARMD

• Optometrist in League City, TX
• Providers in League City, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.