Active NPI
James N Gomez
- Optometrist
- Alexandria, VA
National Provider Identifier
1669485199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000627
- Practice address
- 5885 Kingstowne Blvd
Alexandria, VA 22315-5702 - Phone
- (703) 842-0248
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP1000265 | DC | |
| Optometrist | 152W00000X | 0618000627 | VA | Primary |
| Optometrist | 152W00000X | TPOP123 | FL | |
| Optometrist | 152W00000X | 1566 | NE | |
| Optometrist | 152W00000X | 3737-35 | WI |
Addresses
Primary practice location
5885 Kingstowne Blvd
Alexandria, VA 22315-5702
Mailing address
5885 Kingstowne Blvd
Alexandria, VA 22315-5702
Phone (703) 842-0248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150707002376 | VA | Practitioner - Optometry | 6204067630 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1000265 | DC | MD | Optometrist |
| TPOP123 | FL | MD | Optometrist |
| 0618000627 | VA | MD | Optometrist |
| 3737-35 | WI | MD | Optometrist |
| 1566 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Era Eyecare, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Sterling, VA
- NPI 1518361534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1669485199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5885 KINGSTOWNE BLVD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223155702",
"telephone_number": "703-842-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5885 KINGSTOWNE BLVD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223155702",
"telephone_number": "703-842-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JAMES",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "OP1000265",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000627",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "TPOP123",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1566",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3737-35",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.