Individual provider Active NPI

Valerie Michelle Gudas, OD

  • Optometrist
  • Pocasset, MA
National Provider Identifier
1548725823
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2475 Issued in MA
Practice address
17 Cove Road
#3023
Pocasset, MA 02559
Phone
(508) 816-4500
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 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 OP2475 MA Primary

Addresses

Primary practice location

17 Cove Road
#3023
Pocasset, MA 02559

Mailing address

PO Box 3023
Pocasset, MA 02559-3023
Phone (508) 816-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OP2475MAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1548725823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3023",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "025593023",
            "telephone_number": "508-816-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 COVE ROAD",
            "address_2": "#3023",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "02559",
            "telephone_number": "508-816-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDAS",
        "first_name": "VALERIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OP2475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocasset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.