Individual provider Active NPI

Kevin Michael Gasiorowski, O.D.

  • Optometrist
  • Newburyport, MA
National Provider Identifier
1265411219
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3623 Issued in MA
Practice address
39 Green St
Newburyport, MA 01950-2652
Phone
(978) 465-8761
Fax
(978) 465-6228
NPI assigned
Jan 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 3623 MA Primary

Addresses

Primary practice location

39 Green St
Newburyport, MA 01950-2652

Mailing address

39 Green St
Newburyport, MA 01950-2652
Phone (978) 465-8761

Other identifiers 2

IdentifierTypeStateIssuer
W22037OtherMABC BS
0391727MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080122000527 MA Practitioner - Optometry 2860573375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appleton Eye Associates PCGroup PAC ID 0840367975, 9 clinicians

Practice addresses (Care Compare)

39 Green St
Newburyport, MA 01950-2652
Phone (978) 465-8761

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appleton Eye Associates PC Optometrist Current Accepting new patients
Appleton Eye Associates P.C. Optometrist CurrentSince May 17, 2006 Accepting new patients
Appleton Eye Associates, PC Optometrist CurrentSince Mar 16, 2007 Accepting new patients

Locations

77 Main St
Amesbury, MA 01913
Phone (978) 388-1060

39 Green St
Newburyport, MA 01950
Phone (978) 465-8761

28 Bay Rd
South Hamilton, MA 01982
Phone (978) 468-7511

Organizations & group practices 7

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265411219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502652",
            "telephone_number": "978-465-8761",
            "fax_number": "978-465-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502652",
            "telephone_number": "978-465-8761",
            "fax_number": "978-465-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASIOROWSKI",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "W22037",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391727",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.