Active NPI
Pedro Gomez, OD
- Pediatric Optometrist
- Houston, TX
National Provider Identifier
1972674570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 4389TG
- Practice address
- 6510 Hillcroft St
Suite 300
Houston, TX 77081-4702 - Phone
- (713) 772-6567
- Fax
- (713) 772-8113
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 4389TG | TX | Primary |
Addresses
Primary practice location
6510 Hillcroft St
Suite 300
Houston, TX 77081-4702
Mailing address
6655 Hillcroft St
Suite 222
Houston, TX 77081-4815
Phone (713) 772-6567
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090420000470 | TX | Practitioner - Optometry | 2062569593 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6510 Hillcroft St
Houston, TX 77081-4771
Phone (713) 772-6567
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4389TG | TX | MD | Pediatric Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972674570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 HILLCROFT ST",
"address_2": "SUITE 222",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770814815",
"telephone_number": "713-772-6567",
"fax_number": "713-772-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 HILLCROFT ST",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770814702",
"telephone_number": "713-772-6567",
"fax_number": "713-772-8113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "PEDRO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "4389TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.