Individual provider Active NPI

Brenda E Rosado Gonzalez, O.D., MBA

  • Optometrist
  • Commerce, GA
National Provider Identifier
1588095319
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003315 Issued in GA
Practice address
1937 Homer Rd
Commerce, GA 30529-1254
Phone
(706) 335-7335
NPI assigned
Dec 4, 2013
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003315 GA Primary
Optometrist 152W00000X OPC5147 FL

Addresses

Primary practice location

1937 Homer Rd
Commerce, GA 30529-1254

Mailing address

1937 Homer Rd
Commerce, GA 30529-1254
Phone (706) 335-7335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151109001860 FL Practitioner - Optometry 6103136882 Reassigns benefits to 2 organizations
I20221007001903 GA Practitioner - Optometry 6103136882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1937 Homer Rd
Commerce, GA 30529-1254
Phone (706) 335-7335

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
91.06
Improvement activities
40
Cost
50.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Smyrna Optometrist CurrentSince Apr 20, 2024 Accepting new patients
North Florida Eye Center PA CurrentSince Oct 1, 2015 Accepting new patients
Gainesville Eye Physicians PA Current Accepting new patients
Gainesville Eye Physicians PA CurrentSince Mar 1, 2016 Accepting new patients
North Florida Eye Center PA CurrentSince Oct 1, 2015 Accepting new patients
North Florida Cataract Specialists and Vision Care LLC CurrentSince Mar 1, 2016 Accepting new patients
Georgia Ophthalmologists LLC CurrentSince Jul 1, 2024 Accepting new patients
Commerce Vision Group, LLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients

Locations

410 N Main St
Ste 6
Chiefland, FL 32626
Phone (352) 493-2634

6831 NW 11th Pl
Ste 1
Gainesville, FL 32605
Phone (352) 331-7337

6717 NW 11th Pl
Ste A
Gainesville, FL 32605
Phone (352) 331-7811

1937 Homer Rd
Commerce, GA 30529
Phone (203) 278-0397

4159 Mill St NE
Covington, GA 30014
Phone (770) 786-1234

860 W 3rd St
Jackson, GA 30233
Phone (770) 775-1234

4946 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (706) 400-6750

1747 Langford Dr
Bldg 400
Watkinsville, GA 30677
Phone (706) 425-5433

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15944/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1588095319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 HOMER RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291254",
            "telephone_number": "706-335-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 HOMER RD",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305291254",
            "telephone_number": "706-335-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO GONZALEZ",
        "first_name": "BRENDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D., MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003315",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, GA

Sources for this page

Verify at the official NPI Registry.