MEDICARE: IDELISH GONZALEZ OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11094TG	TX

General Provider Information

NPI Number	:	1346092996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IDELISH GONZALEZ OD

Provider Business Mailing Address
First Line	:	1313 S 10TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-5023
Country	:	US
Telephone Number	:	956-630-2020
Fax Number	:	956-843-0313

Provider Business Practice Location Address
First Line	:	1313 S 10TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-5023
Country	:	US
Telephone Number	:	956-630-2020
Fax Number	:	956-843-0313

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	02/04/2026

Similar Medicare Providers

1326027137 — DR. FRED FARIAS III O.D.
Practice Location Address:

1313 S 10TH ST
MCALLEN, TX
78501-5023

Practice Phone: 956-630-2020
Practice Fax: 956-682-4154

1558462978 — LIDIA LEMARROY
Practice Location Address:

1305 S 10TH ST
MCALLEN, TX
78501-5023

Practice Phone: 956-687-4664
Practice Fax: 956-668-7453

1184803421 — 20/20 VISION CARE INC
Practice Location Address:

1313 S 10TH ST
MCALLEN, TX
78501-5023

Practice Phone: 956-630-2020
Practice Fax:

1104334192 — BRENDA SELENE PEREZ
Practice Location Address:

1309 S 10TH ST
MCALLEN, TX
78501-5023

Practice Phone: 956-360-7889
Practice Fax: 956-800-5311

1174013288 — MEDI-LAB PROVIDER SERVICES LLC
Practice Location Address:

1307 S 10TH ST STE 2
MCALLEN, TX
78501-5023

Practice Phone: 956-800-5008
Practice Fax:

1457942278 — D VINE BEAUTY STUDIO
Practice Location Address:

1309 S 10TH ST
MCALLEN, TX
78501-5023

Practice Phone: 956-533-3860
Practice Fax:

Directions to “ IDELISH GONZALEZ OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.