Active NPI
Katherine Gonzalez, O.D.
- Optometrist
- Conroe, TX
National Provider Identifier
1831501303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002901
- Practice address
- 690 S Loop 336 W
Conroe, TX 77304-3319 - Phone
- (936) 522-4000
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8449TG | TX | |
| Optometrist | 152W00000X | OPC5386 | FL | |
| Optometrist | 152W00000X | OEG002901 | PA | Primary |
Addresses
Primary practice location
690 S Loop 336 W
Conroe, TX 77304-3319
Mailing address
690 S Loop 336 W
Conroe, TX 77304-3319
Phone (936) 522-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5386 | FL | MD | Optometrist |
| OEG002901 | PA | MD | Optometrist |
| 8449TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1831501303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043319",
"telephone_number": "936-522-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W",
"city": "CONROE",
"state": "TX",
"postal_code": "773043319",
"telephone_number": "936-522-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KATHERINE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8449TG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5386",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.