Jennifer Gonzalez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4930 Issued in FL

Practice address

4750 The Grove Dr Ste 164
Windermere, FL 34786-8425

Phone

(407) 801-2477

Fax

(407) 751-1634

NPI assigned

Jun 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Remagin LLCGroup PAC ID 3375738354, 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.

• Remagin, LLC

  • Ophthalmology Physician
  • Windermere, FL
  • NPI 1710299151
  Medicare reassignment Care Compare group NPD
• Truly Eye Care PLLC

  • Optometrist
  • Windermere, FL
  • NPI 1629726906
  Medicare reassignment NPD
• Remagin Office Surgery Services LLC

  • Ambulatory Surgical Clinic/Center
  • Windermere, FL
  • NPI 1205657954
  NPD
• Buxton Eye Surgical P.C.

  • Specialist
  • New York, NY
  • NPI 1780736660
  NPD (past)

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1275946303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 THE GROVE DR STE 164",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868425",
            "telephone_number": "407-801-2477",
            "fax_number": "407-598-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 THE GROVE DR STE 164",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868425",
            "telephone_number": "407-801-2477",
            "fax_number": "407-751-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JENNIFER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2022-02-17",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC4930",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Galvin, MSW
• William Bryan Gamble, MD
• Alison Ann George, LCSW
• Golden Age Transportation Service
• Maria Gracia Gonto Rodriguez
• Rafael Alberto Gonzalez, LMHC (MH 16065)
• Sorimar Gonzalez
• Good One Services LLC
• Magdalena S Gordon, RIMH
• Gracemdconnect

• Optometrist in Windermere, FL
• Providers in Windermere, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.