LEONCIO V GONZALEZ OD PA
NPI 1629371695
Eyewear Supplier in Miami, FL

Active since December 14, 2010
11760 BIRD RD, SUITE 101, MIAMI, FL 33175(305) 220-8333(305) 220-1971 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Leoncio V Gonzalez Od Pa NPPES

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

LEONCIO V GONZALEZ OD PA (NPI 1629371695) is a healthcare organization registered as an eyewear supplier in Miami, Florida and active in the NPI registry since December 2010. The organization lists Leoncio V Gonzalez, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1629371695
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLEONCIO V GONZALEZ OD PA
Location Address11760 BIRD RD, SUITE 101Miami, FL 33175-3582
Mailing Address11760 Bird Rd, Suite 101Miami, FL 33175-3582 · (305) 220-8333 · Fax (305) 220-1971
Fax(305) 220-1971
Organization SubpartNo
Authorized OfficialLeoncio V GonzalezOptometrist · (305) 220-8333
Enumeration DateDecember 14, 2010
Last NPPES UpdateSeptember 28, 2011
✔ NPI 1629371695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in FL · OP 2772
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
11760 BIRD RD, Miami, FL 33175

Other Identifiers 3

Other1138160001FL · Dme
Medicaid620109100FL
Medicare PIN20600FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leoncio V Gonzalez Od Pa 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 Leoncio V Gonzalez Od PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1356333900
11760 BIRD RD SUITE 101
Miami, FL 33175
(305) 220-8333
✔ PECOS✔ Accepts MedicareSame address

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

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Leoncio V Gonzalez Od PA carries, from the Medicare DMEPOS supplier directory.

Leoncio V Gonzalez Od PA

DMEPOS supplier · Miami, FL
✔

Accepts Medicare assignment

Leoncio V Gonzalez Od PA agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20634749
Medicare Participant SinceJanuary 1, 1999
Supplier Location11760 Bird Rd Ste 101Miami, FL 33175
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Leoncio V Gonzalez Od PA's NPI number?

The NPI number for Leoncio V Gonzalez Od PA is 1629371695. It was assigned to this organization in the NPPES registry on December 14, 2010.

Where is Leoncio V Gonzalez Od PA located?

Leoncio V Gonzalez Od PA is located at 11760 Bird Rd Suite 101, Miami, FL 33175. The listed phone number is (305) 220-8333.

What is Leoncio V Gonzalez Od PA's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Leoncio V Gonzalez Od PA enrolled in Medicare?

Yes. Leoncio V Gonzalez Od PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leoncio V Gonzalez Od PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Leoncio V Gonzalez Od PA. 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.

Does Leoncio V Gonzalez Od PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Leoncio V Gonzalez Od PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Leoncio V Gonzalez Od PA accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list Leoncio V Gonzalez Od PA 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 Leoncio V Gonzalez Od PA was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.