Individual provider Active NPI

Catherine Maria Gonzalez, OD

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1043901887
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6269 Issued in FL
Practice address
805 Lighthouse Dr
Bradenton, FL 34212-2168
Phone
(941) 213-0762
Fax
(941) 241-4045
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6269 FL Primary

Addresses

Primary practice location

805 Lighthouse Dr
Bradenton, FL 34212-2168

Mailing address

8212 Abalone Loop
Parrish, FL 34219-1749
Phone (973) 903-8507

Other practice location 1

1725 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6507
Phone (727) 369-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025000745 FL Practitioner - Optometry 2860848009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyeconic Eye Care LLCGroup PAC ID 1052768165, 2 clinicians

Practice addresses (Care Compare)

805 Lighthouse Dr
Bradenton, FL 34212-2168
Phone (941) 213-0762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Aug 7, 2023 Accepting new patients
National Vision, Inc. PastSince May 1, 2023 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1043901887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 ABALONE LOOP",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342191749",
            "telephone_number": "973-903-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 LIGHTHOUSE DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122168",
            "telephone_number": "941-213-0762",
            "fax_number": "941-241-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076507",
            "country_code": "US",
            "telephone_number": "727-369-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CATHERINE",
        "middle_name": "MARIA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.