DR. JORGE G. GONZALEZ (NPI# 1124094107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124094107 |
| Entity Type | Individual |
| Full Name | DR. JORGE G. GONZALEZ |
| Credential | O.D. |
| Practice Address |
797 Woodland Dr. Suite 101 Stuart VA 24171 |
| Mailing Address |
797 Woodland Dr Suite 101 Stuart VA 24171-5132 |
| Practice Telephone | 2766947126 |
| Practice Fax Number | 2766947449 |
| Mailing Telephone | 2766947126 |
| Mailing Fax Number | 2766947449 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2009-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0601800089 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 009230611 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668052 | Jorge L Gonzalez Sr. | Ambulance | 19 Calle Figueras Interseccion Calle Ermerinda Rivera, Jayuya, PR 00664 | 2017-09-13 |
| 1154756971 | Jorge Eduardo Gonzalez | Pharmacist | 7422 Gall Blvd, Zephyrhills, FL 33541-4310 | 2013-09-11 |
| 1366728057 | Jorge A Gonzalez | Nurse Practitioner | 300 Northwest Dr, Miami, FL 33126-4252 | 2011-10-26 |
| 1457651242 | Jorge Gonzalez | Licensed Practical Nurse | 6889 Nw 179th St Apt 305, Hialeah, FL 33015-7465 | 2010-10-26 |
| 1043533201 | Jorge Gonzalez | Massage Therapist | 346 Ashley Loop, Davenport, FL 33837-8820 | 2010-03-02 |
| 1497077515 | Jorge Valenciano Gonzalez | Social Worker | 1403 Lookout, Edinburg, TX 78541-2308 | 2010-02-16 |
| 1265687610 | Jorge Nelson Gonzalez | Speech-Language Pathologist | 560 W 43rd St Apt 18h, New York, NY 10036-4313 | 2008-11-26 |
| 1770737603 | Jorge L Gonzalez | Community Health Worker | 8425 Nw 8th St, 403, Miami, FL 33126-3769 | 2008-11-05 |
| 1528215472 | Jorge R. Gonzalez | Psychologist | 23370 Rd 22, Chowchilla, CA 93610-1501 | 2008-08-22 |
| 1366567539 | Jorge R Gonzalez | Dentist | 1301 E Us Highway 83, Mcallen, TX 78501 | 2007-03-20 |
| Street Address |
797 WOODLAND DR. SUITE 101 |
| City | STUART |
| State | VA |
| Zip Code | 24171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477529527 | James A. Law | Optometrist | 797 Woodland Dr., Suite 101, Stuart, VA 24171 | 2006-02-28 |
| 1407926850 | Drs. Law and Gonzalez | Optometrist | 797 Woodland Dr., Suite 101, Stuart, VA 24171 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| Find all providers in zip 24171 | ||||
| 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 |
|---|---|---|---|---|
| 1518504828 | National Vision Inc | Optometrist | 2610 Se Federal Hwy, Stuart, FL 34994-4535 | 2019-12-05 |
| 1174889927 | Daniel & Max | Optometrist | 2840 Nw Federal Hwy, Stuart, FL 34994-9253 | 2012-04-05 |
| 1083934772 | Ocular Care Professionals LLC | Optometrist | 424 S Western St, Stuart, IA 50250-2026 | 2010-06-04 |
| 1508078619 | Andrea E Carter O D P A | Optometrist | 4001 Se Federal Highway, Stuart, FL 34997 | 2007-05-03 |
| 1205955663 | Brad J Waronicki, O.d., P.a. | Optometrist | 2626 Se Willoughby Blvd, Stuart, FL 34994-4700 | 2007-03-28 |
| 1982738464 | Georgina Elena Araoz | Optometrist | 4211 Se Federal Hwy, 102c, Stuart, FL 34997 | 2007-03-15 |
| 1598797110 | Glenn Allan Valletta | Optometrist | 5066 Se Federal Hwy, Stuart, FL 34997-6627 | 2006-07-06 |
| 1477529527 | James A. Law | Optometrist | 797 Woodland Dr., Suite 101, Stuart, VA 24171 | 2006-02-28 |
| 1114911096 | Robert G Arick | Optometrist | 4625 Se Dixie Hwy, Stuart, FL 34997 | 2005-09-07 |
| 1730172073 | Michael Lee Fogt | Optometrist | 900 Se Ocean Blvd, Suite 106a, Stuart, FL 34994-2471 | 2005-08-23 |
| Find all providers in STUART | ||||
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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.