Jorge G. Gonzalez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601800089 Issued in VA

Practice address

797 Woodland Dr.
Suite 101
Stuart, VA 24171

Phone

(276) 694-7126

Fax

(276) 694-7449

NPI assigned

Feb 28, 2006

Last updated

Dec 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patrick County Eye Associates PCGroup PAC ID 7517119258, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Patrick County Eye Associates PC

  • Optometrist
  • Stuart, VA
  • NPI 1932450608
  Medicare reassignment Care Compare group NPD
• DRS. Law and Gonzalez

  • Optometrist
  • Stuart, VA
  • NPI 1407926850
  NPD

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1124094107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 WOODLAND DR",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715132",
            "telephone_number": "276-694-7126",
            "fax_number": "276-694-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 WOODLAND DR.",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "VA",
            "postal_code": "24171",
            "telephone_number": "276-694-7126",
            "fax_number": "276-694-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601800089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009230611",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foothills Wellness Center
• Foresight Hospital and Health Systems
• FRG Virginia PC
• Allison Lynette Gammons, OTR/L
• Gary a Roberson PLLC
• Tracy Hannold
• Rebecca M Harris, LPC
• Hatcher&Hatcher Taxiservice
• Rebecca Hawks
• Donald Ray Haycraft Jr., RRT-RCP

• Optometrist in Stuart, VA
• Providers in Stuart, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.