Raymond John Gianfriddo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007043 Issued in IL

Practice address

3236 Broadway St
Quincy, IL 62301-3712

Phone

(217) 228-2060

Fax

(217) 228-2066

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

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

Southern College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Site Vision Center, P.C.Group PAC ID 9234179268, 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.

• Site Vision Center, PC

  • Durable Medical Equipment & Medical Supplies
  • Quincy, IL
  • NPI 1104864115

  Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Site Vision Center

  • Optometrist
  • Quincy, IL
  • NPI 1346491867
  NPD (past) Authorized official

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1760425631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 LANCASTER LN",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623058613",
            "telephone_number": "217-224-1204",
            "fax_number": "217-224-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013712",
            "telephone_number": "217-228-2060",
            "fax_number": "217-228-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANFRIDDO",
        "first_name": "RAYMOND",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK TRISTATE COALI",
            "identifier": "294874",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410021483",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IL7043",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori George, NP
• Aleshia Dawn Gerding
• Hrishikesh Ghanekar, MD
• Elie Ghoulam, MD
• Joseph Gianfriddo, O.D.
• Cathy Gill, MOT, OT/L
• Kristi Michelle Gillette, DO
• Lucinda Gilligan
• Wayne Gilliland, BS
• Sue Ann Gingerich, CRNA

• Optometrist in Quincy, IL
• Providers in Quincy, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.