GUADALUPE GUILLEN GOMEZ OD
NPI 1104671080
Optometrist in Sunnyside, WA
About Guadalupe Guillen Gomez Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUADALUPE GUILLEN GOMEZ OD (NPI 1104671080) is an individual optometrist in Sunnyside, Washington, licensed in Washington (61566391) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2023).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Guadalupe Guillen Gomez Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Guadalupe Gomez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennewick, WA 99336
- Reassigned Medicare billing, Washington enrollment
- 4 clinicians in this Medicare group
Bloomington, MN 55420
- Reassigned Medicare billing, Minnesota enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98944 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Guadalupe Gomez's NPI number?
The NPI number for Guadalupe Gomez is 1104671080. It was assigned to this individual provider in the NPPES registry on April 23, 2024. The provider is also known as Dr. Guadalupe Gomez Od.
Where is Guadalupe Gomez located?
Guadalupe Gomez practices at 2926 Covey Ln, Sunnyside, WA 98944. The listed phone number is (509) 836-2818.
What is Guadalupe Gomez's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Guadalupe Gomez enrolled in Medicare?
Yes. Guadalupe Gomez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Guadalupe Gomez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Guadalupe Gomez reassigns Medicare benefits to 2 organizations: Center Vision & Contact Lens Clinic Inc P S (Kennewick, WA) and Chu Laser Eye Institute, PA (Bloomington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guadalupe Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Guadalupe Gomez accept?
Health plans from Blue Cross and Blue Shield of Louisiana, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Guadalupe Gomez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Guadalupe Gomez was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Guadalupe Guillen Gomez, OD · NPI 1104671080
Optometrist provider in Sunnyside, Washington. Individual provider, active in the CMS NPPES registry since April 23, 2024.
## Identity
- **NPI:** 1104671080 (Entity type: Individual)
- **Enumerated:** April 23, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 61566391 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2926 COVEY LN, Sunnyside, WA 98944-8941
- **Phone:** (509) 836-2818
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Center Vision & Contact Lens Clinic Inc P S (NPI 1730132085, Kennewick, WA); Chu Laser Eye Institute, PA (NPI 1407977762, Bloomington, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2023
## Record status
- **NPPES last updated:** May 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104671080) · Data from the CMS NPPES public registry.