DR. NICOLAS ISMAEL GONZALEZ III O.D. - NPI 1164874541

Q: What is Nicolas Gonzalez's NPI number?

The NPI number for Nicolas Gonzalez is 1164874541. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Q: What is Nicolas Gonzalez's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicolas Gonzalez was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

On this page

About Dr. Nicolas Ismael Gonzalez Iii O.d. NPPES

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

DR. NICOLAS ISMAEL GONZALEZ III O.D. (NPI 1164874541) is an individual optometrist in Covina, California, licensed in California (33485) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164874541

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. NICOLAS ISMAEL GONZALEZ IIICredential: O.D.

Location Address505 S ALBERTSON AVECovina, CA 91723-2905

Mailing Address505 S Albertson AveCovina, CA 91723-2905 · (626) 502-6438

Phone(626) 502-6438

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 8, 2016

Last NPPES UpdateOctober 27, 2021

NPPES CertifiedOctober 27, 2021

✔ NPI 1164874541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 33485

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

505 S ALBERTSON AVE, Covina, CA 91723

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicolas Ismael Gonzalez Iii O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608119474

PECOS Enrollment IDI20190517001200

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91723 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nicolas Gonzalez's NPI number?

The NPI number for Nicolas Gonzalez is 1164874541. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Nicolas Gonzalez located?

Nicolas Gonzalez practices at 505 S Albertson Ave, Covina, CA 91723. The listed phone number is (626) 502-6438.

What is Nicolas Gonzalez's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicolas Gonzalez enrolled in Medicare?

Yes. Nicolas Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicolas Gonzalez accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Nicolas Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicolas Gonzalez was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.