Active NPI
Maricely Gonzalez Macion, O.D.
- Optometrist
- Mount Dora, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4140
- Practice address
- 17560 US Highway 441
Mount Dora, FL 32757-6711 - Phone
- (352) 744-7002
- Fax
- (352) 735-3233
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 | OPC4140 | FL | Primary |
Addresses
Primary practice location
17560 US Highway 441
Mount Dora, FL 32757-6711
Mailing address
17560 US Highway 441
Mount Dora, FL 32757-6711
Phone (352) 744-7002
Other practice location 1
7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (561) 515-1500
Other practice location 2
5743 Williamsburg Ln
Wildwood, FL 34785-8129
Phone (352) 744-7002
Other practice location 3
600 N 14th St
Leesburg, FL 34748-4204
Phone (352) 787-5900
Other practice location 4
17556 SE 109th Terrace Rd
Summerfield, FL 34491-6907
Phone (352) 347-2100
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17560 US Hwy 441
Mount Dora, FL 32757-6711
Phone (352) 744-7002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4140 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Florida Eye Center PA | Optometrist | Current | Accepting new patients |
| Mid Florida Eye Center PA | Optometrist | Current | Accepting new patients |
| Delray Eye Associates PA | Optometrist | Current | Accepting new patients |
| Eye Surgery Associates LLC | Past | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
Locations
600 N 14th St
Leesburg, FL 34748
Phone (352) 744-7002
17560 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-7855
17556 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 347-2100
5743 Williamsburg Ln
Wildwood, FL 34785
Phone (352) 735-2021
Networks
- Freedom Health HMO Network
Interoperability endpoints
- drmacion@midfloridaeye.ecldirect.net
- maricely.macion.p4@direct.drea.nextgenshare.com
- mmacion@espflorida.intellechartdirect.net
Organizations & group practices 5
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.
-
- Specialist
- Hollywood, FL
- NPI 1861589343
-
dba UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)
- Ambulatory Surgical Clinic/Center
- Palm Beach Gardens, FL
- NPI 1346317039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1609084730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17560 US HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576711",
"telephone_number": "352-744-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17560 US HIGHWAY 441",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576711",
"telephone_number": "352-744-7002",
"fax_number": "352-735-3233"
}
],
"practiceLocations": [
{
"address_1": "7101 Fairway Dr",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334183701",
"country_code": "US",
"telephone_number": "561-515-1500",
"fax_number": "561-515-1588",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5743 Williamsburg Ln",
"address_purpose": "LOCATION",
"city": "Wildwood",
"state": "FL",
"postal_code": "347858129",
"country_code": "US",
"telephone_number": "352-744-7002",
"fax_number": "352-735-3233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 N 14th St",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347484204",
"country_code": "US",
"telephone_number": "352-787-5900",
"fax_number": "352-735-3233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17556 SE 109th Terrace Rd",
"address_purpose": "LOCATION",
"city": "Summerfield",
"state": "FL",
"postal_code": "344916907",
"country_code": "US",
"telephone_number": "352-347-2100",
"fax_number": "352-735-3233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACION",
"first_name": "MARICELY",
"middle_name": "GONZALEZ",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.