Individual provider Active NPI

Ronald J. Gaudio, OD

  • Optometrist
  • Delaware, OH
National Provider Identifier
1033165147
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3940 Issued in OH
Practice address
34 N Sandusky St
Delaware, OH 43015-1902
Phone
(740) 363-3377
Fax
(740) 363-5559
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3940 OH Primary

Addresses

Primary practice location

34 N Sandusky St
Delaware, OH 43015-1902

Mailing address

34 N Sandusky St
Delaware, OH 43015-1902
Phone (740) 363-3377

Other identifiers 1

IdentifierTypeStateIssuer
000000321640OtherOHANTHEM BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000104 OH Practitioner - Optometry 7315836525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Ronald J Gaudio and Associates IncGroup PAC ID 2062301278, 4 clinicians

Practice addresses (Care Compare)

34 N Sandusky St
Delaware, OH 43015-1902
Phone (740) 363-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3940OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ronald J Gaudio & Associates Inc Optometrist CurrentSince Apr 1, 2004 Accepting new patients

Locations

34 N Sandusky St
Delaware, OH 43015
Phone (614) 679-3190

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1033165147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N SANDUSKY ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151902",
            "telephone_number": "740-363-3377",
            "fax_number": "740-363-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N SANDUSKY ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151902",
            "telephone_number": "740-363-3377",
            "fax_number": "740-363-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDIO",
        "first_name": "RONALD",
        "middle_name": "J.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000321640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.