NPIMap

Organization Active NPI

Ricardo R. Gonzalez, O.D., P.a.

  • Optometrist
  • Elsa, TX
National Provider Identifier
1104900307
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3344T Issued in TX
Legal business name
RICARDO R. GONZALEZ, O.D., P.A.
Practice address
609 E. Edinburg Ave.
Elsa, TX 78543
Phone
(956) 262-2020
Fax
(956) 262-2080
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Ricardo Rene Gonzalez, O.D.NPI 1851475057
Title
Director/Pres.
Phone
(956) 262-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3344T TX Primary

Addresses

Primary practice location

609 E. Edinburg Ave.
Elsa, TX 78543

Mailing address

PO Box 1137
Elsa, TX 78543-1137
Phone (956) 262-2020

Other identifiers 1

IdentifierTypeStateIssuer
176834301MedicaidTX

Other names 1

  • Valley Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517001493 TX Part B Supplier - Clinic/Group Practice 2567452816 Receives reassigned benefits from 2 practitioners
Practice locations: Elsa, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1104900307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785431137",
            "telephone_number": "956-262-2020",
            "fax_number": "956-262-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E. EDINBURG AVE.",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "78543",
            "telephone_number": "956-262-2020",
            "fax_number": "956-262-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO R. GONZALEZ, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "DIRECTOR/PRES.",
        "authorized_official_telephone_number": "956-262-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3344T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176834301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elsa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.