MS. VANESSA CRYSTAL GARCIA-BALOK O.D.
NPI 1336491679
Optometrist in Athens, TX

Q: What is Vanessa Garcia-balok's NPI number?

The NPI number for Vanessa Garcia-balok is 1336491679. It was assigned to this individual provider in the NPPES registry on October 10, 2012. The provider is also known as Vanessa Crystal Garcia O.D..

Q: What is Vanessa Garcia-balok's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since October 10, 2012PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

608 S PALESTINE, ATHENS, TX 75751(903) 675-6440(903) 675-6676 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Nov 10, 2022 (2 updates tracked since 2022).

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About Ms. Vanessa Crystal Garcia-balok O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. VANESSA CRYSTAL GARCIA-BALOK O.D. (NPI 1336491679) is an individual optometrist in Athens, Texas, licensed in Nevada (825) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Pacific University - College Of Optometry (2015).

NPPES Registry Identity

NPI1336491679

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMS. VANESSA CRYSTAL GARCIA-BALOKCredential: O.D.

Location Address608 S PALESTINEAthens, TX 75751

Mailing Address5961 S Los Altos Pkwy, Ste 101Sparks, NV 89436-2500 · (775) 359-2020 · Fax (775) 359-2676

Phone(903) 675-6440

Fax(903) 675-6676

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 2015

Enumeration DateOctober 10, 2012

Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2024

✔ NPI 1336491679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NV · 825

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

608 S PALESTINE, Athens, TX 75751

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Other Names 1

Former Name (1)Vanessa Crystal Garcia O.d.

Secondary Practice Locations 5

Location 11440 S Main StLindale, TX 75771-6267 · Phone (903) 882-8990 · Fax (903) 882-4476

Location 22413 E Loop 820 NFort Worth, TX 76118-6933 · Phone (888) 964-6681 · Fax (888) 662-0859

Location 32440 E 5th StTyler, TX 75701-3525 · Phone (903) 595-0500 · Fax (903) 595-1212

Location 4408 S Main StWinnsboro, TX 75494-3226 · Phone (903) 342-5799 · Fax (903) 342-1409

Location 55961 S Los Altos Pkwy, Ste 101Sparks, NV 89436-2500 · Phone (775) 359-2020 · Fax (775) 359-2676

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Vanessa Crystal Garcia-balok O.d. 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.

PECOS PAC ID9133432412

PECOS Enrollment IDI20220307002625

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

440 services292 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

422 services421 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

228 services188 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

192 services192 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

50 services50 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75751 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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 Vanessa Garcia-balok's NPI number?

The NPI number for Vanessa Garcia-balok is 1336491679. It was assigned to this individual provider in the NPPES registry on October 10, 2012. The provider is also known as Vanessa Crystal Garcia O.D..

Where is Vanessa Garcia-balok located?

Vanessa Garcia-balok practices at 608 S Palestine, Athens, TX 75751. The listed phone number is (903) 675-6440.

What is Vanessa Garcia-balok's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Vanessa Garcia-balok enrolled in Medicare?

Yes. Vanessa Garcia-balok 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.

What insurance does Vanessa Garcia-balok accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 13 other insurers list Vanessa Garcia-balok 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 Vanessa Garcia-balok was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.