Melissa Gomez Gonzales, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9280TG Issued in TX

Practice address

1540A Wildcat Dr
Portland, TX 78374-2814

Phone

(361) 643-1516

Fax

(361) 643-7479

NPI assigned

Mar 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

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 and National Provider Directory roles.

• Dr. Toan a Tran and Associates Corp

  dba College Optical Express

  • Optometrist
  • Denton, TX
  • NPI 1417275207
  Medicare reassignment NPD
• Wink Eye Care, PLLC

  dba Wink Eye Care

  • Clinic/Center
  • Little Elm, TX
  • NPI 1497093439
  Medicare reassignment NPD

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1881197374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 COTT ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113119",
            "telephone_number": "361-728-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540A WILDCAT DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742814",
            "telephone_number": "361-643-1516",
            "fax_number": "361-643-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MELISSA",
        "middle_name": "GOMEZ",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9280TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Thamaravelil Gansle, PH.D.
• Carlos Garcia, LPC
• Priscilla Daisy Garza, APRN-CNP
• Morgan Taylor Gawlik Reyes, FNP-BC
• Trisha Marie Goben
• Rosemary Gonzalez
• Jamie Goyer, FNP-C
• Melissa Ann Granberry, NP-C
• Lori Bohuslav Green, MS CCC/SLP
• Gregory-Portland Isd

• Optometrist in Portland, TX
• Providers in Portland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.

Verify at the official NPI Registry.