Roxana Carol Gomez, in Jbsa Lackland, TX - Medicare Optometrist Provider

Roxana Carol Gomez, is a medicare enrolled "Optometrist" provider in Jbsa Lackland, Texas. Her current practice location is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-6255.

Roxana Carol Gomez is licensed to practice in Florida (license number OPC6394) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679349419.

Contact Information

	Roxana Carol Gomez,
	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638
	(210) 292-6255
	(210) 292-7934

Map and Direction

Healthcare Provider's Profile

Full Name	Roxana Carol Gomez
Gender	Female
Speciality	Optometrist
Location	1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679349419
Provider Enumeration Date: 12/04/2023
Last Update Date: 06/12/2025

Medicare PECOS Information:

PECOS PAC ID: 0042669434
Enrollment ID: I20231211002175

Medical Identifiers

Medical identifiers for Roxana Carol Gomez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679349419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPC6394 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Roxana Carol Gomez allows following entities to bill medicare on her behalf.

Provider Name	Sevigny & Associates Eye Care, Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649427543 PECOS PAC ID: 3173667110 Enrollment ID: O20100215000559

Provider Name	Myeyedr Optometry Of Florida, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073907028 PECOS PAC ID: 0143541037 Enrollment ID: O20150603002802

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roxana Carol Gomez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Roxana Carol Gomez, 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255	Roxana Carol Gomez, 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255

Reviews and Comments

Optometrist in Jbsa Lackland, TX

Dr. Lisa Leader Kohler, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-2385
Daniel K Gullekson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-1055
Dr. Ethan C Woodbury, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934
Dr. Diego L Vega, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4233 Fax: 210-292-2313
Matt Sin Valdes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 433 Aerospace Medicine Sq, Jbsa Lackland, TX 78236 Phone: 210-925-7850
Christine Stabile, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-395-9809

Roxana Carol Gomez, - Medicare Optometrist in Jbsa Lackland, TX