DR. NIKKI GONZALEZ (OD) – Optometrist, NPI 1831835289

DR. NIKKI GONZALEZ (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6233 (FL). The NPI Number for DR. NIKKI GONZALEZ (OD) is 1831835289

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. NIKKI GONZALEZ (OD)
NPI
1831835289
Phone
(703) 847-8899
Address
8614 WESTWOOD CENTER DR FL 9
Enumeration Date
9 May 2022
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7572759090
Graduation Year
2022 (4 years ago)
PAC ID
2668853730
Group Practice PAC ID
0345630729
Professional Enrollment ID
I20250212000090
Address ID
VA233202803CH1116XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:4State licenses:3Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for DR. NIKKI GONZALEZ (OD)

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 27 MEMORIAL PKWY

    RANDOLPH, MA 023684539

    Phone: (781) 986-7400

    Fax: (781) 986-5201

    Type: Location

  • 1116 VOLVO PKWY STE 102

    CHESAPEAKE, VA 233202803

    Phone: (757) 426-2020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $445.

Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($235).

Total Amount

$445

General + Research + Ownership

Payments

19

Total payment records

General Amount

$445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

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: 2025-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220720002621IOptometryMATBD
I20230706003910IOptometryFLTBD
I20250212000090IOptometryVATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes2120$0
99213Established patient office or other outpatient visit, 20-29 minutes1917$0
92014Established patient complete exam of visual system1818$0
92250Photography of the retina1313$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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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: 0345630729View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YTX
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

Can I cross-check DR. NIKKI GONZALEZ (OD) using NPI 1831835289?
NPI 1831835289 belongs to DR. NIKKI GONZALEZ (OD); compare other details if you need extra assurance.
Is there an active status for DR. NIKKI GONZALEZ (OD)?
For scheduling context, DR. NIKKI GONZALEZ (OD) is shown as active in the registry.
How would a patient describe DR. NIKKI GONZALEZ (OD)'s focus?
For DR. NIKKI GONZALEZ (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. NIKKI GONZALEZ (OD)?
Travel planning: use Vienna, Virginia as the reference point for DR. NIKKI GONZALEZ (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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