Brian Anthony Gonzales, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1622 Issued in MD

Practice address

2002 Medical Pkwy Ste 320
Annapolis, MD 21401-7901

Phone

(410) 571-8733

NPI assigned

Nov 14, 2006

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chesapeake Eye Care and Laser Center LLCGroup PAC ID 2769460971, 79 clinicians

Goel Vision ColumbiaGroup PAC ID 4385064229, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Chesapeake Eye Care and Laser Center LLC

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1548296262

  Optometrist

  Medicare reassignment Care Compare group NPD
• Goel Vision Columbia

  • Ophthalmology Physician
  • Columbia, MD
  • NPI 1003437641
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Clinton, MD
  • NPI 1497124796

  DC

  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • College Park, MD
  • NPI 1366086084
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba Myeyedr

  • Optometrist
  • Havre de Grace, MD
  • NPI 1760864912
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD
• Medical Eye Associates of Baltimore PC

  • Ophthalmology Physician
  • Towson, MD
  • NPI 1003251109
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1720150915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 MCABBOTT CT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211443444",
            "telephone_number": "410-551-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 320",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017901",
            "telephone_number": "410-571-8733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Defense Hwy",
            "address_2": "SUITE 104",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017027",
            "country_code": "US",
            "telephone_number": "410-897-0560",
            "fax_number": "410-897-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Shawn Goldstein, MD
• Alfonso Angel Gomar, MD
• Marie T Gomba, MSW , LCSW-C
• Diana Maribel Gomez, CRNP
• Joshua R Gonos
• Hector M Gonzalez Garcia, M.D
• Cindy Yosefind Gonzalez
• Katherine Good, M.S., CCC-SLP
• Mark Cameron Good, LCSW-C, BCD, PH.D.
• Marvin D Goodley

• Optometrist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.

Verify at the official NPI Registry.