Individual provider Active NPI

Monica L. Gonzales-Deliganis, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1972575355
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5401TG Issued in TX
Practice address
1250 Cypress Station Dr
A
Houston, TX 77090-3052
Phone
(281) 444-1677
Fax
(281) 444-8631
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5401TG TX Primary

Addresses

Primary practice location

1250 Cypress Station Dr
A
Houston, TX 77090-3052

Mailing address

7155 Old Katy Rd
N100
Houston, TX 77024-2134
Phone (713) 668-6828

Other names 1

  • Monica Gonzales Former name

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
I20040526000533 TX Practitioner - Optometry 2961483953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

2319 Rayford Rd
Suite 200
Spring, TX 77386-4216
Phone (281) 607-4211

3551 Justin Rd
Suite 150
Flower Mound, TX 75028-6213
Phone (972) 355-5152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5401TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 29, 2021 Accepting new patients
Vision Trends - Kingwood PA Optometrist PastSince Nov 16, 2013 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

11805 Westheimer Rd
Ste 300
Houston, TX 77077
Phone (281) 496-0689

2319 Rayford Rd
Ste 200
Spring, TX 77386
Phone (281) 601-1001

Organizations & group practices 3

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1972575355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 OLD KATY RD",
            "address_2": "N100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242134",
            "telephone_number": "713-668-6828",
            "fax_number": "832-280-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CYPRESS STATION DR",
            "address_2": "A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903052",
            "telephone_number": "281-444-1677",
            "fax_number": "281-444-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-DELIGANIS",
        "first_name": "MONICA",
        "middle_name": "L.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5401TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "GONZALES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.