Angelica M. Gonzalez, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6530T Issued in TX

Practice address

219 W Kleberg Ave
Kingsville, TX 78363-4427

Phone

(361) 592-6443

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Coastal Bend Ambulatory Surgical Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Corpus Christi, TX
  • NPI 1689695959
  NPD (past)
• Michael Bouton MD PLLC

  dba Surgical Group of Memorial City

  • Surgery Physician
  • Houston, TX
  • NPI 1336350388
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1699758615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W KLEBERG AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783634427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W KLEBERG AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783634427",
            "telephone_number": "361-592-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANGELICA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6530T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFE RE",
            "identifier": "19544",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "51025",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174382501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81401Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174731301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D Geddes
• Gilberto Sosa Jr MD PA
• Glo-Liz Inc (Exclusive Care Services)
• Ernestina Gomez
• Raul Gomez Jr., RN
• Jaclyn Eileen Gonzalez, MS, LAT, ATC
• Melva Ann Gonzalez, COTA
• Heather A Goodall, APRN
• Priscilla Ann Guevara
• Gulf Coast Imaging & Associates, LLC

• Optometrist in Kingsville, TX
• Providers in Kingsville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.