Gerard R D'Aversa, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

008756 Issued in NY

Practice address

70 E Sunrise Hwy Ste 400
Valley Stream, NY 11581-1233

Phone

(516) 374-4199

Fax

(516) 295-5303

NPI assigned

Jun 13, 2018

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Consultants of Long IslandGroup PAC ID 8022909076, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gerard.daversaod.p1@direct.ocli.nextgenshare.com

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.

• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Rockville Centre, NY
  • NPI 1285675660
  Medicare reassignment Care Compare group NPD
• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Stony Brook, NY
  • NPI 1245271600
  NPD (past)
• Peter J. Breingan MD & Richard L. Deluca MD

  dba Eye Institute of New York

  • Ophthalmology Physician
  • New York, NY
  • NPI 1720290729
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1104319219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-804-5200",
            "fax_number": "516-240-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY STE 400",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811233",
            "telephone_number": "516-374-4199",
            "fax_number": "516-295-5303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Marcus Ave Ste W286",
            "address_purpose": "LOCATION",
            "city": "North New Hyde Park",
            "state": "NY",
            "postal_code": "110421011",
            "country_code": "US",
            "telephone_number": "516-374-4199",
            "fax_number": "516-358-2329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 E 76th St Ofc 2D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212850",
            "country_code": "US",
            "telephone_number": "212-205-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AVERSA",
        "first_name": "GERARD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05186530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CVS Albany LLC (CVS Pharmacy)
• CW Dietary Consulting LLC
• Cyrus RX Inc
• Sarah Czwartacky
• Gerard D'Aversa, M.D.
• Suzanne Dalal, PHD
• Colleen Wilzena Daley, RN
• Nicole Daley, MS
• Terri A Daley, LPN
• Dallet Psychological Services PC

• Optometrist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.