Individual provider Active NPI

Gary John Guido, O.D.

  • Optometrist
  • North Canton, OH
National Provider Identifier
1912021494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3534 T1759 Issued in OH
Practice address
5399 Lauby Rd
Suite 205
North Canton, OH 44720-1554
Phone
(330) 494-8814
Fax
(330) 494-1902
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3534 T1759 OH Primary

Addresses

Primary practice location

5399 Lauby Rd
Suite 205
North Canton, OH 44720-1554

Mailing address

5399 Lauby Rd
Suite 205
North Canton, OH 44720-1554
Phone (330) 494-8814

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190219001819 OH Practitioner - Optometry 5193063055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5399 Lauby Rd
Suite 205
North Canton, OH 44720-1554
Phone (330) 494-8814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3534OHMDChiropractor
3534 T1759OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gary J. Guido, Inc. CurrentSince Jan 2, 2019 Accepting new patients

Locations

5399 Lauby Rd
Ste 205
Green, OH 44720
Phone (330) 494-8814

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912021494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 LAUBY RD",
            "address_2": "SUITE 205",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201554",
            "telephone_number": "330-494-8814",
            "fax_number": "330-494-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 LAUBY RD",
            "address_2": "SUITE 205",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201554",
            "telephone_number": "330-494-8814",
            "fax_number": "330-494-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDO",
        "first_name": "GARY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3534 T1759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.