Vanessa Garcia-Balok, O.D.
NPI 1336491679 · Optometrist · Athens, TX
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vanessa Garcia-Balok, O.D. is a Optometrist provider in Athens, TX (NPI 1336491679).
Provider details
- NPI number
- 1336491679
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 825 (NV)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,380 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 440 | $73 |
| Established Patient Complete Exam of Visual System92014 | 422 | $121 |
| Established Patient Problem Focused Exam of Visual System92012 | 228 | $86 |
| New Patient Complete Exam of Visual System92004 | 192 | $143 |
| New Patient Problem Focused Exam of Visual System92002 | 50 | $81 |
| Photography of the Retina92250 | 48 | $34 |
Typical Medicare-allowed amounts for these services range $34–$143 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (5)
- 5961 S Los Altos PkwySte 101Sparks, NV 89436-2500Phone: (775) 359-2020Fax: (775) 359-2676
- 2413 E Loop 820 NFort Worth, TX 76118-6933Phone: (888) 964-6681Fax: (888) 662-0859
- 1440 S Main StLindale, TX 75771-6267Phone: (903) 882-8990Fax: (903) 882-4476
- 2440 E 5th StTyler, TX 75701-3525Phone: (903) 595-0500Fax: (903) 595-1212
- 408 S Main StWinnsboro, TX 75494-3226Phone: (903) 342-5799Fax: (903) 342-1409
Registry dates
- Enumerated
- 2012-10-10
- Last updated
- 2024-10-03
- Certified
- 2024-09-30
Frequently asked questions
- What is Vanessa Garcia-Balok's NPI number?
- Vanessa Garcia-Balok's National Provider Identifier (NPI) is 1336491679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vanessa Garcia-Balok's specialty?
- Vanessa Garcia-Balok is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Vanessa Garcia-Balok located?
- Vanessa Garcia-Balok's practice location on file with NPPES is 608 S Palestine, Athens, TX 75751.
- What is Vanessa Garcia-Balok's phone number?
- The practice phone number listed in the NPPES registry for Vanessa Garcia-Balok is (903) 675-6440.
- Does Vanessa Garcia-Balok accept Medicare?
- Vanessa Garcia-Balok is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vanessa Garcia-Balok's NPI active?
- Yes — Vanessa Garcia-Balok's NPI (1336491679) is active in the NPPES registry as of the last update on 2024-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.