Individual provider Active NPI

Randy Edward Gunia, O.D.

  • Optometrist
  • Quincy, MA
National Provider Identifier
1164526844
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.009877 Issued in IL
Practice address
300 Congress St Ste 201
Quincy, MA 02169-0907
Phone
(617) 471-5665
Fax
(617) 471-7041
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009877 IL Primary

Addresses

Primary practice location

300 Congress St Ste 201
Quincy, MA 02169-0907

Mailing address

100 New Main St
Yonkers, NY 10701-3808
Phone (914) 965-5367

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161102002046 NY Practitioner - Optometry 8123189461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Vision Place IncGroup PAC ID 2062692304, 2 clinicians

Practice addresses (Care Compare)

100 New Main St
Yonkers, NY 10701-3808
Phone (914) 965-5367

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4593MAMDRegistered Dietitian
046.009877ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Vision Place, Inc. Optometrist CurrentSince May 9, 2018 Accepting new patients
Designer Optical of Plains Parkway Inc Optometrist CurrentSince Apr 21, 2021 Accepting new patients
The Vision Place II LTD Optometrist Current Accepting new patients
Designer Optical of Yonkers Inc Past Accepting new patients
Designer Optical of Pelham PastSince Apr 21, 2021 Accepting new patients
Designer Optical of Pelham Past Accepting new patients

Locations

2196 White Plains Rd
#A
Bronx, NY 10462
Phone (718) 513-3577

100 New Main St
Yonkers, NY 10701
Phone (914) 965-5367

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1164526844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW MAIN ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013808",
            "telephone_number": "914-965-5367",
            "fax_number": "914-965-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST STE 201",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-471-5665",
            "fax_number": "617-471-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNIA",
        "first_name": "RANDY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.