Individual provider Active NPI

Renee Mignon Gomez Chlebica, O.D.

  • Optometrist
  • Sturbridge, MA
National Provider Identifier
1811277163
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4813 Issued in MA
Practice address
67 Hall Rd Ste 2
Sturbridge, MA 01566-1473
Phone
(508) 978-1923
Fax
(508) 463-9973
NPI assigned
Aug 18, 2011
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4813 MA Primary

Addresses

Primary practice location

67 Hall Rd Ste 2
Sturbridge, MA 01566-1473

Mailing address

67 Hall Rd Ste 2
Sturbridge, MA 01566-1473
Phone (267) 625-3156

Other names 1

  • Renee Mignon Gomez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120118000301 MA Practitioner - Optometry 0042487977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 -6 Masonic Home Rd
Charlton, MA 01507-6301
Phone (508) 248-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4813MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1184299281 Optometrist Current Accepting new patients
Renee M Gomez-Chlebica OD LLC Optometrist CurrentSince Jun 25, 2016 Accepting new patients
Carpen, Inc. Past Accepting new patients
Westin Cohen OD PLLC Optometrist PastSince Jan 8, 2024 Accepting new patients
Charlton Optical PastSince Jun 25, 2016 Accepting new patients

Locations

109 Masonic Home Rd
Ste 6
Charlton, MA 01507
Phone (508) 248-1188

67 Hall Rd
Ste 2
Sturbridge, MA 01566
Phone (508) 978-1923

Organizations & group practices 4

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1811277163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 HALL RD STE 2",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661473",
            "telephone_number": "267-625-3156",
            "fax_number": "508-463-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 HALL RD STE 2",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661473",
            "telephone_number": "508-978-1923",
            "fax_number": "508-463-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ CHLEBICA",
        "first_name": "RENEE",
        "middle_name": "MIGNON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "GOMEZ",
            "middle_name": "MIGNON",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sturbridge, MA

Sources for this page

Verify at the official NPI Registry.