Marilyn S Gonzalez, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

375 Issued in NV

Practice address

3300 E. Flamingo Rd
Ste 20
Las Vegas, NV 89121

Phone

(702) 434-9919

Fax

(702) 319-2158

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marilyn I Saiki Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

University of California, Irvine, California College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tamara Gutierrez LLCGroup PAC ID 3476645037, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Tamara Gutierrez, LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1003016072
  Medicare reassignment Care Compare group NPD
• John Chan O.D. PLLC

  • Optometrist
  • Henderson, NV
  • NPI 1588295331
  Medicare reassignment NPD
• H Kenneth Kopolow O.D & Assoc P.C

  • Optometrist
  • Las Vegas, NV
  • NPI 1336186444
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1235166109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E. FLAMINGO RD.",
            "address_2": "STE 20",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-434-9919",
            "fax_number": "702-319-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E. FLAMINGO RD",
            "address_2": "STE 20",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89121",
            "telephone_number": "702-434-9919",
            "fax_number": "702-319-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARILYN",
        "middle_name": "S",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002502049",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "SAIKI",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Guadalupe Gonzalez
• Maria Magdalena Gonzalez
• Maria Nayeli Gonzalez
• Maria Teresa Gonzalez
• Maribel Gonzalez
• Marisa Gonzalez
• Marisel Munoz Gonzalez
• Marisol Gonzalez
• Mariuska Gonzalez
• Marlisa Gonzalez

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.