Individual provider Active NPI

Eric Joseph Gonzalez

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1811756711
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11145 Issued in TX
Practice address
7910 Teak LN
San Antonio, TX 78209-1763
Phone
(105) 382-0202
NPI assigned
Mar 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11145 TX Primary

Addresses

Primary practice location

7910 Teak LN
San Antonio, TX 78209-1763

Mailing address

10938 Hillsdale Loop
San Antonio, TX 78249-3888
Phone (956) 373-8544

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
I20240619001205 TX Practitioner - Optometry 4385187327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
3 C Vision SpecialistsGroup PAC ID 2668767070, 2 clinicians

Practice addresses (Care Compare)

7910 Teak LN
Suite 202
San Antonio, TX 78209-1764
Phone (210) 538-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
3 C Vision Specialists CurrentSince Jul 15, 2024 Accepting new patients

Locations

7910 Teak Ln
Ste 202
San Antonio, TX 78209
Phone (210) 538-2020

9211 Broadway
Unit 17283
San Antonio, TX 78217

Interoperability endpoints

  • Direct secure messaging: egonzalez@vision3c.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1811756711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10938 HILLSDALE LOOP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493888",
            "telephone_number": "956-373-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 TEAK LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091763",
            "telephone_number": "105-382-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.