Individual provider Active NPI

Andrew James Gunn, O.D.

  • Optometrist
  • Canton, OH
National Provider Identifier
1730196577
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3174T805 Issued in OH
Practice address
4300 Tuscarawas St W
Canton, OH 44708-5427
Phone
(330) 478-4984
Fax
(330) 555-2272
NPI assigned
Aug 2, 2006
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3174T805 OH Primary

Addresses

Primary practice location

4300 Tuscarawas St W
Canton, OH 44708-5427

Mailing address

850 Morningbreeze Cir
Barberton, OH 44203-4476
Phone (330) 745-9735

Other practice location 1

1790 Town Park Blvd Ste D
Uniontown, OH 44685-7972
Phone (330) 896-3937

Other practice location 2

3510 Manchester Rd
Coventry Township, OH 44319-1415
Phone (330) 753-2100

Other practice location 3

2000 Brittain Rd Ste 600
Akron, OH 44310-1814
Phone (330) 633-0053

Other identifiers 1

IdentifierTypeStateIssuer
1730196577OtherOHNPPES

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BARBERTON Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221219001991 IL Practitioner - Optometry 3173651213 Reassigns benefits to 1 organization
I20250624003637 AZ Practitioner - Optometry 3173651213 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3174T805OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Jun 30, 2025 Accepting new patients
Visionworks, Inc CurrentSince Oct 25, 2022 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Oct 25, 2022 Accepting new patients
Usv Optical Inc. PastSince Jun 15, 2021 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients
Usv Optical Inc Optometrist PastSince Jun 15, 2021 Accepting new patients

Locations

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

19100 Ridgewood Pkwy
Bldg 1
San Antonio, TX 78259
Phone (726) 444-4069

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1730196577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MORNINGBREEZE CIR",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034476",
            "telephone_number": "330-745-9735",
            "fax_number": "330-745-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085427",
            "telephone_number": "330-478-4984",
            "fax_number": "330-555-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1790 Town Park Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446857972",
            "country_code": "US",
            "telephone_number": "330-896-3937",
            "fax_number": "330-633-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3510 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Coventry Township",
            "state": "OH",
            "postal_code": "443191415",
            "country_code": "US",
            "telephone_number": "330-753-2100",
            "fax_number": "330-633-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brittain Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443101814",
            "country_code": "US",
            "telephone_number": "330-633-0053",
            "fax_number": "330-633-4274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3174T805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1730196577",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BARBERTON",
            "affiliation": "N",
            "endpointDescription": "corporate office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1790 Town Park Blvd Ste D",
            "city": "Uniontown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446857972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.