DR. DALYSSA RENEE GONZALEZ OD
NPI 1336767466
Optometrist in San Antonio, TX

Active since July 06, 2020PECOS EnrolledAccepts Medicare Assignment
24165 IH 10 W STE 125, SAN ANTONIO, TX 78257(210) 698-2020(210) 698-7886 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2020, Jul 6, 2020 (2 updates tracked since 2020).

About Dr. Dalyssa Renee Gonzalez Od NPPES

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

DR. DALYSSA RENEE GONZALEZ OD (NPI 1336767466) is an individual optometrist in San Antonio, Texas, licensed in Texas (10013TG) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336767466
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DALYSSA RENEE GONZALEZCredential: OD
Location Address24165 IH 10 W STE 125San Antonio, TX 78257-1160
Mailing Address24165 Ih 10 W Ste 125San Antonio, TX 78257-1160 · (210) 698-2020 · Fax (210) 698-7886
Fax(210) 698-7886
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 6, 2020
Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
NPI 1336767466 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 TX · 10013TG
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.

24165 IH 10 W STE 125, San Antonio, TX 78257

Accepted 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

Dr. Dalyssa Renee Gonzalez 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.

PECOS PAC ID1153748629
PECOS Enrollment IDI20200828001082
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 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.

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.
55 services41 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.
17 services17 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78257 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.

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 Dalyssa Gonzalez's NPI number?

The NPI number for Dalyssa Gonzalez is 1336767466. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Dalyssa Gonzalez located?

Dalyssa Gonzalez practices at 24165 Ih 10 W Ste 125, San Antonio, TX 78257. The listed phone number is (210) 698-2020.

What is Dalyssa Gonzalez's specialty?

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

Is Dalyssa Gonzalez enrolled in Medicare?

Yes. Dalyssa Gonzalez 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 Dalyssa Gonzalez accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Dalyssa Gonzalez 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 Dalyssa Gonzalez was last updated on December 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.