David Gandelman, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT1005 Issued in ME

Practice address

363 Center St
Auburn, ME 04210-6114

Phone

(207) 530-8332

NPI assigned

Jun 6, 2019

Sex

Male

Sole proprietor

Yes

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 ME

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

New England College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Clinical Eyecare of Central Maine LLCGroup PAC ID 7618498130, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Advanced Clinical Eyecare of Central Maine, LLC

  • Optometrist
  • Auburn, ME
  • NPI 1821808973
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1306405089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106114",
            "telephone_number": "207-530-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106114",
            "telephone_number": "207-530-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDELMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler J Gagnon, DMD
• Brian L Gallagher, DMD
• Bruce V Gallup, DMD
• Avery Gamache, MS, OTR/L
• Mohamed Gamal-Eldin, MD
• Richard Blair Garini, ATC
• Alexandra Garry, LCPC
• David M Gast, MD
• Olivia Gatter
• Sare Gebhardt, LCPC-C

• Optometrist in Auburn, ME
• Providers in Auburn, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.