Individual provider Active NPI

Alyssa M Gamez, O.D.

  • Optometrist
  • Sinton, TX
National Provider Identifier
1780024737
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8204TG Issued in TX
Practice address
1150 E Market St
Sinton, TX 78387-2930
Phone
(361) 360-4434
Fax
(866) 512-1070
NPI assigned
Jul 4, 2013
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8204TG TX Primary

Addresses

Primary practice location

1150 E Market St
Sinton, TX 78387-2930

Mailing address

1150 E Market St
Sinton, TX 78387-2930
Phone (361) 360-4434

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130912000440 TX Practitioner - Optometry 7719121706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8204TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace M Salone, OD, PLLC Optometrist CurrentSince Apr 13, 2023 Accepting new patients

Locations

1150 E Market St
Sinton, TX 78387
Phone (361) 360-4434

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1780024737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E MARKET ST",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "783872930",
            "telephone_number": "361-360-4434",
            "fax_number": "866-512-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E MARKET ST",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "783872930",
            "telephone_number": "361-360-4434",
            "fax_number": "866-512-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEZ",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-04",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8204TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sinton, TX

Sources for this page

Verify at the official NPI Registry.