Leoncio V Gonzalez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP2772 Issued in FL

Practice address

11760 Bird Rd
Suite 101
Miami, FL 33175-3549

Phone

(305) 220-8333

Fax

(305) 220-1971

NPI assigned

Aug 19, 2005

Reactivated

Mar 28, 2006

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 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

Northwestern University Feinberg Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Vision Unlimited LLCGroup PAC ID 2264695436, 5 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.

• Leoncio V Gonzalez OD PA

  • Eyewear Supplier
  • Miami, FL
  • NPI 1629371695
  Medicare reassignment NPD Authorized official
• New Vision Unlimited LLC

  • Optometrist
  • Miami, FL
  • NPI 1922379148
  Medicare reassignment Care Compare group NPD
• New Vision Unlimited LLC

  • Optometrist
  • Miami, FL
  • NPI 1346111093
  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1356333900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753549",
            "telephone_number": "305-220-8333",
            "fax_number": "305-220-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753549",
            "telephone_number": "305-220-8333",
            "fax_number": "305-220-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LEONCIO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2010-08-04",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620109100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanet Chantal Gonzalez
• Leida Magdalena Gonzalez
• Leidy Gonzalez
• Leidy Gonzalez
• Leidys Erisbel Gonzalez
• Leslie Gonzalez
• Lester Gonzalez
• Leydy Gonzalez, RBT
• Lhays Gonzalez, RBT
• Liannelys Gonzalez, L.M.T

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.