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Deactivated NPI 1356333900 Deactivated / Inactive NPI Male Practitioner

Dr. Leoncio V Gonzalez , OD

Optometrist • Miami, FL

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leoncio Gonzalez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~13 Years of Practice (1993 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Leoncio Gonzalez, OD was a registered Optometrist in Miami, FL. Prior to record deactivation on 2006-03-23, Dr. Gonzalez completed approximately 13 years of clinical practice following graduation from Northwestern University Feinberg Medical School in 1993.

Dr. Gonzalez was affiliated with New Vision Unlimited Llc and accepted Medicare assignment.

Historical Medicare Part B clinical services included photography of the retina, examination of cornea and iris using lens device and slit lamp, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

11760 Bird Rd
Suite 101

Miami, FL 331753549

Telephone 3052208333
Fax 3052201971
Associated Practice Facility / Clinic
🏢 Enrique C Fernandez Md Pa Facility NPI 1932383460

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Miami, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +15.4 yrs vs City Avg
City Avg: 17.6 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
254 Specialists

Practicing in Miami, FL (3724 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gonzalez (33 Years) 33 Yrs
Miami Specialty Average (17.6 Years) 17.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
86 80 $125.00 $37.70
92020 Examination of cornea and iris using lens device and slit lamp
56 54 $60.00 $27.66
92014 Established patient complete exam of visual system
46 41 $159.00 $127.00
99213 Established patient office or other outpatient visit, typically 15 minutes
43 29 $100.00 $95.33
92004 New patient complete exam of visual system
33 32 $189.00 $150.56

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OP2772

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
620109100 (FL)

Hospital & Practice Group Affiliations

New Vision Unlimited Llc

13852 Sw 88th St, Miami, FL 331861304

Phone: 3056622990

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Eric Bussear , PA

Physician Assistant

NPI 1336160258

Physician Assistant

Yanette Barcelo , PA

Physician Assistant

NPI 1407252885

Physician Assistant

Dr. Jorge Nasr , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1417967886

Doctor of Podiatric Medicine

Dr. Mark Mckenney , MD

Surgery - Trauma Surgery

NPI 1437212099

Doctor of Medicine (M.D.)

Dr. Matthew Clarke , MD

Orthopaedic Surgery

NPI 1497912877

Doctor of Medicine (M.D.)

NPI 1528040086

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location August 04, 2010

Registered at 11760 BIRD RD, SUITE 101, MIAMI, FL 331753549 (Tel: 3052208333)

📍
Updated Business Mailing Address August 04, 2010

Registered at 11760 BIRD RD, SUITE 101, MIAMI, FL 331753549 (Tel: 3052208333)

👤
Provider Name / Credentials Updated August 04, 2010

Recorded as LEONCIO GONZALEZ, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2010

Optometrist (License #OP2772 in FL)

🔄
NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

⚠️
NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

🟢
Initial NPI Registration & Enumeration August 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356333900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: August 04, 2010
Deactivation Date: March 23, 2006
Sole Proprietor: No

Mailing Address

11760 Bird Rd, Suite 101

Miami, FL 331753549

Phone: 3052208333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.