Provider Demographics
NPI:1619642808
Name:GONZALEZ, VERONICA JANETTE (OD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:JANETTE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:OD
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Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:3968 SW ARCHER RD STE W101
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-2342
Practice Address - Country:US
Practice Address - Phone:352-376-6622
Practice Address - Fax:352-376-1786
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOPC5947152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist