Individual provider Active NPI

Vincent John Gamuzza, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1063851285
Registry record updated Sep 27, 2026
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Nov 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003130 Issued in PA
Practice address
3810 Morrell Ave
Philadelphia, PA 19114-1915
Phone
(732) 583-3589
NPI assigned
Jun 20, 2013
Reactivated
Apr 28, 2021
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003130 PA Primary

Addresses

Primary practice location

3810 Morrell Ave
Philadelphia, PA 19114-1915

Mailing address

3810 Morrell Ave
Philadelphia, PA 19114-1915
Phone (732) 583-3589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lens and Vision Associates, P.a Optometrist PastSince Aug 4, 2009 Accepting new patients

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1063851285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 MORRELL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141915",
            "telephone_number": "732-583-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 MORRELL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141915",
            "telephone_number": "732-583-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMUZZA",
        "first_name": "VINCENT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "deactivation_date": "2020-11-15",
        "reactivation_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.