Gerardo Guadarrama Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0000000000 Issued in NC

Practice address

4325 Glenwood Ave
Raleigh, NC 27612-4532

Phone

(919) 782-4100

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By 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

Medicare fee-for-service enrollment

Enrolled in NC

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

Pennsylvania College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians

Eyecare Specialties of North Carolina OD PLLCGroup PAC ID 8820462252, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment Care Compare group NPD
• Eyecare Specialties of North Carolina OD PLLC

  • Optometrist
  • Holly Springs, NC
  • NPI 1699483586
  Medicare reassignment Care Compare group
• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1801841044
  NPD
• C.V. Sikes,Jr. & R.B. Gotschalk PTR

  dba Family Eye Care Optometry

  • Optometrist
  • Sanford, NC
  • NPI 1083768311
  NPD (past)

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1215771043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E HUMMINGBIRD AVE",
            "city": "CORTLAND",
            "state": "IL",
            "postal_code": "601124127",
            "telephone_number": "815-708-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124532",
            "telephone_number": "919-782-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADARRAMA",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin O'Connor Grupp, LCSW, LCAS
• Brooke E Gruschow
• Hailey Lynn Gryske, MS, BCBA
• Nicole Gryzik, AU.D.
• GSB Enterprise LLC
• Lawrence Guan, MD
• Guardian Angel Home Care, Inc
• Guardian Angel Home Care, Inc
• Guardian Care Solutions LLC
• Guardian Home Healthcare

• Optometrist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.