Leoncio V Gonzalez OD PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OP 2772 Issued in FL

Legal business name

LEONCIO V GONZALEZ OD PA

Practice address

11760 Bird Rd
Suite 101
Miami, FL 33175-3582

Phone

(305) 220-8333

Fax

(305) 220-1971

NPI assigned

Dec 14, 2010

Last updated

Sep 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leoncio V Gonzalez, ODNPI 1356333900

Title

Optometrist

Phone

(305) 220-8333

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leoncio V Gonzalez, OD

  • Optometrist
  • Miami, FL
  • NPI 1356333900
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1629371695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-220-8333",
            "fax_number": "305-220-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-220-8333",
            "fax_number": "305-220-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONCIO V GONZALEZ OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LEONCIO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "305-220-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OP 2772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1138160001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620109100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca J Leonard
• Tom Leonard, MT
• Radibelkys Leonardo Baez de Nunez
• Leonardo Zayas-Bazan DPM LLC (South Miami Podiatry)
• Alexandra Leonce
• Michael A Leoncio, D.O.
• Julia Maria Leone, MS RDN
• Kalie Alexandra Leone, OD
• Isabella Mercedes Leoni Garcia, MS, LDN, CNS
• Leonidas Ahumada, M.D.,P.a.

• Eyewear Supplier in Miami, FL
• Providers in Miami, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.