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DR. MARISSA GOMEZ OD
NPI 1720677396
Optometrist in San Antonio, TX

Active since January 18, 2021PECOS Enrolled
6909 N LOOP 1604 E STE 1113, SAN ANTONIO, TX 78247(210) 651-0985 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2022, Jan 18, 2021 (2 updates tracked since 2021).

About Dr. Marissa Gomez Od NPPES

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

DR. MARISSA GOMEZ OD (NPI 1720677396) is an individual optometrist in San Antonio, Texas, licensed in Texas (10171TG) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720677396
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARISSA GOMEZCredential: OD
Location Address6909 N LOOP 1604 E STE 1113San Antonio, TX 78247-5306
Mailing Address6909 N Loop 1604 E Ste 1113San Antonio, TX 78247-5306 · (210) 651-0985
Phone(210) 651-0985
Sole ProprietorNo
Enumeration DateJanuary 18, 2021
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1720677396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TX · 10171TG✔ Licensed in PA · OEG003748✔ Licensed in MD · TA2778
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.
6909 N LOOP 1604 E STE 1113, San Antonio, TX 78247
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marissa Gomez Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Marissa Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mjw Eyecare Associates, P.A.
89 mi
Optometrist
2340 E MAIN ST STE Q
Uvalde, TX 78801
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1881925196 (830) 278-2010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78247 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 Marissa Gomez's NPI number?

The NPI number for Marissa Gomez is 1720677396. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Marissa Gomez located?

Marissa Gomez practices at 6909 N Loop 1604 E Ste 1113, San Antonio, TX 78247. The listed phone number is (210) 651-0985.

What is Marissa Gomez's specialty?

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

Is Marissa Gomez enrolled in Medicare?

Yes. Marissa Gomez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marissa Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Gomez reassigns Medicare benefits to Mjw Eyecare Associates, P.A. (Uvalde, TX). The 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 Marissa Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marissa Gomez was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.