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

Michelle Gonzalez, OD

Individual provider Optometrist · NPI 1174729420

Michelle Gonzalez, OD is an Optometry in Pembroke Pines, Florida. Qualified in 2003, 23 years ago. Practices with Marc E Bosem MD PA, a 5-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1 S.w 129th Ave Ste 209
Pembroke Pines, FL 33027
Phone: (954) 437-9300
Fax: (954) 437-9377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC3797 (FL)

Record details

NPI number1174729420
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing addressP.O. Box 39209, Ft. Lauderdale, FL 33339

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Marc E Bosem Md Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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