Vista Eyecare & Wellness

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISTA EYECARE & WELLNESS

Practice address

2310 Longfibre Rd
Union Gap, WA 98903-1513

Phone

(509) 454-5253

NPI assigned

Jun 11, 2025

Last updated

Nov 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Cristina Gomez, ODNPI 1811673817

Title

Optometrist

Phone

(509) 454-5253

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Gomez, OD

  • Optometrist
  • Pomona, CA
  • NPI 1811673817

  WA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1932094828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 LONGFIBRE RD",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031513",
            "telephone_number": "509-454-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 LONGFIBRE RD",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031513",
            "telephone_number": "509-454-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA EYECARE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "509-454-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek C Thompson, DMD
• Carla Alexandra Trevino, RN
• Union Gap School District
• Sikarin Upala, M.D.
• Maria D. Valenzuela
• W Emma St Healthcare LLC (Parkside Nursing and Rehabilitation)
• Walla Walla Vamc
• Washington CVS Pharmacy LLC (CVS Pharmacy #11675)
• Craig D Whittlesey, MD
• Benjamin Christopher Winters, O.D.

• Optometrist in Union Gap, WA
• Providers in Union Gap, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.