Individual provider Active NPI

Viviana Gonzalez, OD

  • Optometrist
  • Dallas, TX
National Provider Identifier
1932761574
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9731T Issued in TX
Practice address
8515 Greenville Ave Ste N108
Dallas, TX 75243-7035
Phone
(214) 221-0855
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 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 9731T TX Primary

Addresses

Primary practice location

8515 Greenville Ave Ste N108
Dallas, TX 75243-7035

Mailing address

4901 Calhoun Rd
Houston, TX 77204-2020
Phone (713) 743-2020

Other practice location 1

2525 Lucas Dr
Dallas, TX 75219-1804
Phone (214) 528-7354

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
I20190918000632 TX Practitioner - Optometry 0446580476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Houston SystemGroup PAC ID 6901896356, 55 clinicians

Practice addresses (Care Compare)

2525 Lucas Dr
Dallas, TX 75219-1804
Phone (214) 528-7354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9731TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Area Community Health Centers, Inc. CurrentSince Nov 15, 2023 Accepting new patients
North Texas Area Community Health Centers, Inc CurrentSince Nov 15, 2023 Accepting new patients
University of Houston System Optometrist Current Accepting new patients
Uh Eye Care Optometrist Past Accepting new patients

Locations

2525 Lucas Dr
Dallas, TX 75219
Phone (214) 528-1354

2525 Lucas Dr
Bldg 3
Dallas, TX 75219
Phone (214) 528-7354

655 Taylor St
Fort Worth, TX 76102
Phone (817) 289-6800

2332 Beverly Hills Dr
Ft Worth, TX 76114
Phone (817) 625-4254

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

4901 Calhoun Rd
Houston, TX 77204
Phone (713) 743-1921

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1932761574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 CALHOUN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772042020",
            "telephone_number": "713-743-2020",
            "fax_number": "713-743-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 GREENVILLE AVE STE N108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437035",
            "telephone_number": "214-221-0855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Lucas Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752191804",
            "country_code": "US",
            "telephone_number": "214-528-7354",
            "fax_number": "214-528-7387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VIVIANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9731T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.