DR. NICOLAS ISMAEL GONZALEZ III (NPI# 1164874541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164874541 |
| Entity Type | Individual |
| Full Name | DR. NICOLAS ISMAEL GONZALEZ III |
| Credential | O.D. |
| Practice Address |
505 S Albertson Ave Covina CA 91723-2905 |
| Practice Telephone | 6265026438 |
| Mailing Telephone | 6265026438 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 33485 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916659 | Nicolas Antonio Gonzalez | Pediatrics | 2600 E Southern Ave, Bldg. H, Tempe, AZ 85282 | 2005-07-15 |
| Street Address |
505 S ALBERTSON AVE |
| City | COVINA |
| State | CA |
| Zip Code | 91723-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1124153796 | Steven Kenji Moriyasu | Optometrist | 924 N Citrus Ave, Covina, CA 91722-2737 | 2007-02-22 |
| 1124195623 | Raymond Hsiung Hsiang Wu | Optometrist | 911 N Grand Ave, Covina, CA 91724-2046 | 2006-11-29 |
| 1366523565 | Chenh Man Vong | Optometrist | 141 N. Citrus Ave., Chenh Vong, Covina, CA 91723 | 2006-10-17 |
| 1710079991 | Clifford M Hitomi | Optometrist | 525 N Azusa Ave, Covina, CA 91722-3502 | 2006-09-28 |
| 1942392238 | Eyecare Specialists Medical Group, Inc. | Optometrist | 475 W. Badillo St., Covina, CA 91723-1902 | 2006-09-28 |
| 1649290123 | Douglas Wayne Stephey | Optometrist | 208 W Badillo St, Covina, CA 91723-1906 | 2006-07-20 |
| 1689661977 | Dr Bernard Levin, Dr D H Duncan & Dr Perry S Hom, An Optometric Corp | Optometrist | 592 S Grand Ave, Covina, CA 91724-3467 | 2005-10-01 |
| 1962499251 | Dennis H Duncan | Optometrist | 364 E Rowland St, Covina, CA 91723-3154 | 2005-10-01 |
| 1952856031 | Dinna Lea | Optometrist | 1275 N Azusa Ave, Covina, CA 91722-1260 | 2016-08-18 |
| Find all providers in COVINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.