Individual provider Active NPI

Marco Vinicio Gonzalez Solis, DO

  • Optician
  • Tampa, FL
National Provider Identifier
1487390951
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO777 Issued in FL
Practice address
4040 W Waters Ave Ste 106
Tampa, FL 33614-8133
Phone
(813) 488-8231
NPI assigned
May 9, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO777 FL Primary

Addresses

Primary practice location

4040 W Waters Ave Ste 106
Tampa, FL 33614-8133

Mailing address

4040 W Waters Ave Ste 106
Tampa, FL 33614-8133
Phone (813) 488-8231

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address monica@opticaldistrict.com Direct

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO777FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Optical District LLC Optician PastSince May 16, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1487390951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 W WATERS AVE STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336148133",
            "telephone_number": "813-488-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 W WATERS AVE STE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336148133",
            "telephone_number": "813-488-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ SOLIS",
        "first_name": "MARCO",
        "middle_name": "VINICIO",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2026-09-29",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monica@opticaldistrict.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4040 W Waters Ave Ste 106",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336148133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.