IDELISH GONZALEZ (OD) – Optometrist, NPI 1346092996

IDELISH GONZALEZ (OD) is a healthcare provider. based in Mcallen, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 11094TG (TX). The NPI Number for IDELISH GONZALEZ (OD) is 1346092996

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
IDELISH GONZALEZ (OD)
NPI
1346092996
Phone
(956) 630-2020
Address
1313 S 10TH ST
Enumeration Date
4 April 2024
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9566313366
Graduation Year
2024 (2 years ago)
PAC ID
5092255455
Group Practice PAC ID
6800165143
Professional Enrollment ID
I20240911004476
Address ID
TX785043012MC423XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for IDELISH GONZALEZ (OD)

  • 1313 S 10TH ST

    MCALLEN, TX 785015023

    Phone: (956) 630-2020

    Fax: (956) 843-0313

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-09-07 • Largest payer in this snapshot: Alcon Vision LLC ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$18
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: 2024-09-11

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
I20240911004476IOptometryTXTBD

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 78501)

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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: 6800165143View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

Does IDELISH GONZALEZ (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — IDELISH GONZALEZ (OD) uses 1346092996.
Is IDELISH GONZALEZ (OD) listed as active for patients and plans?
The listing shows IDELISH GONZALEZ (OD) as active in the NPI system.
What is IDELISH GONZALEZ (OD)'s primary classification?
Optometrist is the headline specialty for IDELISH GONZALEZ (OD) here. Clinical services aligned with this taxonomy classification.
Where should I expect IDELISH GONZALEZ (OD) on a map?
Expect Mcallen, Texas as a primary anchor for IDELISH GONZALEZ (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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