Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Susan Ataly Antigua Gonzalez, OD

Individual provider Optometrist · NPI 1376435859

Dr. Susan Ataly Antigua Gonzalez, OD is an Optometry in Brooklyn, New York. Graduated from State University of New York - State College Optometry in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2025
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

102 Graham Ave
Brooklyn, NY 11206-3334
Phone: (718) 690-2177
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 011210 (NY)

Record details

NPI number1376435859
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 17, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Brooklyn