Nicolas Ismael Gonzalez III, O.D.
NPI 1164874541ActiveIndividual· Optometrist· Covina, CA
Optometrist (O.D.) with Southern California Permanente Medical Group, practicing in Covina, California. Part D covered 390 prescriptions written in 2024, 92% of them generic.
Overview
| NPI | 1164874541 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 8, 2016 |
| Last updated in NPPES | Oct 27, 2021 |
| Certified by provider | Oct 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 33485 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 390 · 836 30-day fills |
|---|---|
| Patients | 154 |
| Total drug cost | $9,052 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 30 optometrists in Covina · All optometrists in California