DR. BENEDICTE GONZALEZ (OD. MPH) – Optometrist, NPI 1033517867

DR. BENEDICTE GONZALEZ (OD. MPH) is a healthcare provider. based in Los angeles, California. specializing in Optometrist. They hold the professional credentials OD. MPH. They hold a License No. 15169 (CA). The NPI Number for DR. BENEDICTE GONZALEZ (OD. MPH) is 1033517867

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENEDICTE GONZALEZ (OD. MPH)
NPI
1033517867
Phone
(323) 234-9137
Address
3916 S BROADWAY
Enumeration Date
10 December 2014
Last Update Date
17 December 2015

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
4880998269
Group Practice PAC ID
9739075177
Professional Enrollment ID
I20160204001441
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for DR. BENEDICTE GONZALEZ (OD. MPH)

  • 3916 S BROADWAY

    LOS ANGELES, CA 900371307

    Phone: (323) 234-9137

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: CooperVision Inc. ($113).

Total Amount

$113

General + Research + Ownership

Payments

2

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$113
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160204001441IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739075177View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P T O M E T R YCA
Physician AssistantCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

How do payers reference DR. BENEDICTE GONZALEZ (OD. MPH)?
For DR. BENEDICTE GONZALEZ (OD. MPH), use NPI 1033517867 as the unique 10-digit identifier.
Would DR. BENEDICTE GONZALEZ (OD. MPH) appear as active to a payer?
You can treat DR. BENEDICTE GONZALEZ (OD. MPH) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. BENEDICTE GONZALEZ (OD. MPH)?
DR. BENEDICTE GONZALEZ (OD. MPH)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. BENEDICTE GONZALEZ (OD. MPH)?
Travel planning: use Los Angeles, California as the reference point for DR. BENEDICTE GONZALEZ (OD. MPH), then confirm.
When was this NPI issued?
Enumeration for DR. BENEDICTE GONZALEZ (OD. MPH) is noted as December 10, 2014 where the registry provides it.

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