Lorena Isabel Gonzalez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11549 Issued in TX

Practice address

17134 Bulverde Rd Ste 107
San Antonio, TX 78247-2190

Phone

(210) 267-2686

Fax

(210) 267-2216

NPI assigned

Oct 7, 2025

Last updated

Oct 7, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Optometry

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Well-Edge Vision

  dba Pearle Vision

  • Optometrist
  • San Antonio, TX
  • NPI 1619616778
  Medicare reassignment NPD

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1811862048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 LOST WOODS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404930",
            "telephone_number": "210-267-2686",
            "fax_number": "210-267-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17134 BULVERDE RD STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472190",
            "telephone_number": "210-267-2686",
            "fax_number": "210-267-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LORENA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Gonzalez, CTRS
• Leticia Gonzalez, BCBA SLP
• Leticia Andrea Gonzalez
• Lisa Gonzalez, RN
• Lorelei A. Gonzalez, MD
• Lorenzo L. Gonzalez, CPO, LPO
• Louis A Gonzalez
• Luis Gonzalez
• M Antonieta Gonzalez, MD
• Madalyn Jane Gonzalez

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.