Active NPI
Macey Gonzales
- Optometrist
- Schererville, IN
National Provider Identifier
1407624273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004463A
- Practice address
- 169 US Highway 41
Schererville, IN 46375-1203 - Phone
- (219) 440-5745
- NPI assigned
- Dec 12, 2023
- Last updated
- Dec 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004463A | IN | Primary |
Addresses
Primary practice location
169 US Highway 41
Schererville, IN 46375-1203
Mailing address
169 US Highway 41
Schererville, IN 46375-1203
Phone (219) 440-5745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004463A | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1407624273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 US HIGHWAY 41",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751203",
"telephone_number": "219-440-5745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 US HIGHWAY 41",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751203",
"telephone_number": "219-440-5745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "MACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004463A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.