MICHELLE GONZALEZ OD PA
NPI 1962698431
Optometrist in Lauderdale Lakes, FL

Active since September 19, 2007
4300 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313(954) 484-0700(954) 484-0705 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Optometrist

About MICHELLE GONZALEZ OD PA

This page provides the complete NPI Profile along with additional information for Michelle Gonzalez Od Pa, a provider established in Lauderdale Lakes, Florida operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1962698431 assigned on September 2007. The practitioner's primary taxonomy code is 152W00000X with license number OPC3797 (FL). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michelle Gonzalez O.d. (President)

NPI
1962698431 Verify this NPI
Provider Name
MICHELLE GONZALEZ OD PA
Entity Type
Organization
Location Address
4300 W OAKLAND PARK BLVD LAUDERDALE LAKES, FL 33313
Location Phone
(954) 484-0700
Location Fax
(954) 484-0705
Mailing Address
4300 W OAKLAND PARK BLVD LAUDERDALE LAKES, FL 33313
Mailing Phone
(954) 484-0700
Mailing Fax
(954) 484-0705
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2007
Last Update Date
11-09-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
OPC3797
License State
FL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE GONZALEZ O.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(954) 484-0700

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Ophthalmology
4300 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL 33313

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962698431, enumerated as an "organization" on September 19, 2007.

The provider is located at 4300 W OAKLAND PARK BLVD LAUDERDALE LAKES, FL 33313 and the phone number is (954) 484-0700.

Optometrist with taxonomy code 152W00000X.