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AZURE AESTHETICS AND OCULOFACIAL PLASTIC SURGERY PC
NPI 1114724465
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Snyder, NY

Active since February 25, 2025
4590 MAIN ST, SNYDER, NY 14226(585) 319-2284 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Azure Aesthetics And Oculofacial Plastic Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZURE AESTHETICS AND OCULOFACIAL PLASTIC SURGERY PC (NPI 1114724465) is a healthcare organization registered as an ophthalmic plastic and reconstructive surgery in Snyder, New York and active in the NPI registry since February 2025. The organization lists Mithra Gonzalez, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1114724465
Entity TypeOrganization
Primary Taxonomy207WX0200X
Legal Business NameAZURE AESTHETICS AND OCULOFACIAL PLASTIC SURGERY PC
Location Address4590 MAIN STSnyder, NY 14226-4548
Mailing Address4590 Main StSnyder, NY 14226-4548 · (585) 319-2284
Phone(585) 319-2284
Organization SubpartNo
Authorized OfficialMithra GonzalezMd/owner · (585) 319-2284
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1114724465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
4590 MAIN ST, Snyder, NY 14226
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azure Aesthetics And Oculofacial Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Azure Aesthetics And Oculofacial Plastic Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mithra Gonzalez, MD
Ophthalmology
NPI 1396859682
601 ELMWOOD AVE
Rochester, NY 14642
(585) 273-3937
✔ PECOS✔ Accepts Medicare60 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azure Aesthetics And Oculofacial Plastic Surgery PC's NPI number?

The NPI number for Azure Aesthetics And Oculofacial Plastic Surgery PC is 1114724465. It was assigned to this organization in the NPPES registry on February 25, 2025.

Where is Azure Aesthetics And Oculofacial Plastic Surgery PC located?

Azure Aesthetics And Oculofacial Plastic Surgery PC is located at 4590 Main St, Snyder, NY 14226. The listed phone number is (585) 319-2284.

What is Azure Aesthetics And Oculofacial Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Azure Aesthetics And Oculofacial Plastic Surgery PC enrolled in Medicare?

Yes. Azure Aesthetics And Oculofacial Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azure Aesthetics And Oculofacial Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Azure Aesthetics And Oculofacial Plastic Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Azure Aesthetics And Oculofacial Plastic Surgery PC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.