Organization Active NPI

Dr Ronald J Gaudio & Associates Inc

Doing business as Delaware Vision Care

  • Optometrist
  • Delaware, OH
National Provider Identifier
1447286034
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR RONALD J GAUDIO & ASSOCIATES INC
Doing business as
Delaware Vision Care
Practice address
34 N Sandusky St
Delaware, OH 43015-1902
Phone
(740) 363-3377
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Dr. Ronald Joseph Gaudio, ODNPI 1033165147
Title
Owner
Phone
(740) 363-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

34 N Sandusky St
Delaware, OH 43015-1902

Mailing address

34 N Sandusky St
Delaware, OH 43015-1902
Phone (740) 363-3377

Other identifiers 1

IdentifierTypeStateIssuer
0668559MedicaidOH

Other names 1

  • Delaware Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000718 OH Part B Supplier - Clinic/Group Practice 2062301278 Receives reassigned benefits from 5 practitioners
Practice locations: Delaware, OH

National Provider Directory

National Provider Directory

Locations

34 N Sandusky St
Delaware, OH 43015
Phone (614) 679-3190

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1447286034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N SANDUSKY ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151902",
            "telephone_number": "740-363-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N SANDUSKY ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151902",
            "telephone_number": "740-363-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RONALD J GAUDIO & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "GAUDIO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-363-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0668559",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.