MICHELLE GONZALEZ (O.D.) – Optometrist, NPI 1174729420

MICHELLE GONZALEZ (O.D.) is a healthcare provider. based in Pembroke pines, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC3797 (FL). The NPI Number for MICHELLE GONZALEZ (O.D.) is 1174729420

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE GONZALEZ (O.D.)
NPI
1174729420
Phone
(954) 437-9300
Address
1 S.W. 129TH AVE
Enumeration Date
25 June 2007
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
0143314732
Group Practice PAC ID
8022914761
Professional Enrollment ID
I20070913000037
Address ID
FL333263256WE2300XPKWY400

Contacts

Secure Messaging
michelle.gonzalezod.p1@direct.eyefl.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

2,055 OPTOMETRY in FL

Provider Addresses for MICHELLE GONZALEZ (O.D.)

  • 1 S.W. 129TH AVE

    STE 209

    PEMBROKE PINES, FL 33027

    Phone: (954) 437-9300

    Fax: (954) 437-9377

    Type: Location

  • P.O. BOX 39209

    FT. LAUDERDALE, FL 33339

    Phone: (954) 851-9966

    Fax: (954) 318-7360

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $2,588.

Total Amount is formed as General ($2,588) + Research ($0) + Ownership ($0) = $2,588.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($529).

Total Amount

$2,588

General + Research + Ownership

Payments

60

Total payment records

General Amount

$2,588

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-09-13

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
I20070913000037IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system169151$0
92134Imaging of retina153143$0
92012Established patient problem focused exam of visual system7764$0
92133Imaging of optic nerve6160$0
92083Exam of visual field with extended testing4544$0
View full utilization report →

Insurance plans in this area (ZIP 33027)

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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: 8022914761View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
Nurse PractitionerFL
O P H T H A L M O L O G YNY

Reviews

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Frequently asked questions

Is there an official ID for MICHELLE GONZALEZ (O.D.) in U.S. healthcare records?
The official identifier for MICHELLE GONZALEZ (O.D.) is NPI 1174729420.
Active or inactive — what applies to MICHELLE GONZALEZ (O.D.)?
You should see MICHELLE GONZALEZ (O.D.) as active in CMS-hosted NPPES data.
What kind of doctor is MICHELLE GONZALEZ (O.D.)?
MICHELLE GONZALEZ (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE GONZALEZ (O.D.)?
Directory geography for MICHELLE GONZALEZ (O.D.) centers on Pembroke Pines, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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