DR. LIZETH GONZALEZ OD
NPI 1598376113
Optometrist in San Diego, CA
About Dr. Lizeth Gonzalez Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LIZETH GONZALEZ OD (NPI 1598376113) is an individual optometrist in San Diego, California, licensed in California (34552) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Juneau, and is a graduate of New England College Of Optometry (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Lizeth Gonzalez Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lizeth Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90022
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
San Mateo, CA 94403
- Reassigned Medicare billing, Alaska and California enrollments
- Medicare enrollment name: William Y To Od Inc
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92105
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 Lizeth Gonzalez's NPI number?
The NPI number for Lizeth Gonzalez is 1598376113. It was assigned to this individual provider in the NPPES registry on August 17, 2020.
Where is Lizeth Gonzalez located?
Lizeth Gonzalez practices at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 280-4213.
What is Lizeth Gonzalez's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Lizeth Gonzalez enrolled in Medicare?
Yes. Lizeth 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.
Which organizations bill Medicare for Lizeth Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lizeth Gonzalez reassigns Medicare benefits to 2 organizations: Paul T Urrea M D M P H Inc (Los Angeles, CA) and William Y. To, O.D., Inc (San Mateo, CA). Each 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 Lizeth Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lizeth Gonzalez accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Lizeth 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 Lizeth Gonzalez was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Lizeth Gonzalez, OD · NPI 1598376113
Optometrist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since August 17, 2020.
## Identity
- **NPI:** 1598376113 (Entity type: Individual)
- **Enumerated:** August 17, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34552 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4060 FAIRMOUNT AVE, San Diego, CA 92105-1608
- **Phone:** (619) 280-4213
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Paul T Urrea M D M P H Inc (NPI 1619074838, Los Angeles, CA); William Y. To, O.D., Inc (NPI 1700448925, San Mateo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2020
## Record status
- **NPPES last updated:** August 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1598376113) · Data from the CMS NPPES public registry.