James John Gaudio, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT005179 Issued in NY

Practice address

6911 Grand Ave
Maspeth, NY 11378-1812

Phone

(718) 458-5055

Fax

(718) 458-8453

NPI assigned

Jul 12, 2006

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 NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Super Vision Eye Care of Maspeth Inc

  • Optometrist
  • Maspeth, NY
  • NPI 1427844604
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1619902996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781812",
            "telephone_number": "718-458-5055",
            "fax_number": "718-458-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781812",
            "telephone_number": "718-458-5055",
            "fax_number": "718-458-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDIO",
        "first_name": "JAMES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Pond Chemists LLC
• Fresh Pond Chemists LLC
• Gajanan W Laud MDPC
• Paula Galazka
• Gary H Minkowitz DDS PC
• Benya Noot Gaugler, RN
• Jacqueline Gebert, M.S.ED
• William A Gechoff, PHARMACIST
• Genovese Drug Stores Inc
• Rochelle George

• Optometrist in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.