Individual provider Active NPI

Idelish Gonzalez, OD

  • Optometrist
  • McAllen, TX
National Provider Identifier
1346092996
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11094TG Issued in TX
Practice address
1313 S 10TH St
McAllen, TX 78501-5023
Phone
(956) 630-2020
Fax
(956) 843-0313
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 11094TG TX Primary

Addresses

Primary practice location

1313 S 10TH St
McAllen, TX 78501-5023

Mailing address

1313 S 10TH St
McAllen, TX 78501-5023
Phone (956) 630-2020

Other names 1

  • Idelish Gonzalez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240911004476 TX Practitioner - Optometry 5092255455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Love 4 Eyes PLLCGroup PAC ID 6800165143, 2 clinicians

Practice addresses (Care Compare)

423 W Nolana Ave
McAllen, TX 78504-3012
Phone (956) 631-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Love 4 Eyes PLLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
I.O.U. Enterprises Inc Optometrist CurrentSince Apr 9, 2024 Accepting new patients
20/20 Vision Care Inc Optometrist Past Accepting new patients

Locations

423 W Nolana Ave
McAllen, TX 78504
Phone (956) 631-3366

Organizations & group practices 3

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": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1346092996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015023",
            "telephone_number": "956-630-2020",
            "fax_number": "956-843-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015023",
            "telephone_number": "956-630-2020",
            "fax_number": "956-843-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IDELISH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11094TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDELISH",
            "last_name": "GONZALEZ",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.