Susan Ataly Antigua Gonzalez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

011210 Issued in NY

Practice address

102 Graham Ave
Brooklyn, NY 11206-3334

Phone

(718) 690-2177

NPI assigned

Jul 17, 2025

Sex

Female

Sole proprietor

No

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.

• Eye Care Center, Inc

  • Ophthalmology Physician
  • Brooklyn, NY
  • NPI 1225538457

  Optometrist

  NPD

Specialty

Optometry

Education

State University of New York - State College Optometry, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2025.

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1376435859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 ASHFORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072722",
            "telephone_number": "646-406-2016",
            "fax_number": "646-406-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112063334",
            "telephone_number": "718-690-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTIGUA GONZALEZ",
        "first_name": "SUSAN",
        "middle_name": "ATALY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Anthony
• Nicole Beaumont Anthony
• Viktoriya L Anthony
• Popi Anthoulis, PHARM.D
• Fran Antigone, LCSW
• Rose S Antilus, MD
• Bertha Serwaa Antobre
• Lindy Antoine-Crute
• Azalia Antoine, MBBS
• Bernadette L. Antoine

• All providers in Brooklyn, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.