Madeline Marie Gianandrea, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4635ATI Issued in OR

Practice address

10709 S Walton Rd
La Grande, OR 97850-8490

Phone

(541) 962-7753

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Apple Eyecare PCGroup PAC ID 5799758959, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apple Eyecare PC

  • Optometrist
  • Island City, OR
  • NPI 1538345269
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1982334025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67038 HUNTER RD",
            "city": "SUMMERVILLE",
            "state": "OR",
            "postal_code": "978768129",
            "telephone_number": "541-910-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 S WALTON RD",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978508490",
            "telephone_number": "541-962-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANANDREA",
        "first_name": "MADELINE",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4635ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://appleeyecarepc.eyeclinic.net/login",
            "affiliation": "N",
            "address_1": "10709 S Walton Rd",
            "city": "LA Grande",
            "state": "OR",
            "country_code": "US",
            "postal_code": "978508490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colby Garth
• Dehanna Lyn Gascon, FNP-BC
• Rachel Marie Gazeley, RDH
• Kaitlyn Gekeler, VQMHP
• Genesis Dermatology
• Andrew Nathan Gibler, PHARMD
• Cheyenne M Gillihan
• David Kristopher Glabe, O.D., M.S.
• Melyssa Gleed
• Ricky Gloria

• Optometrist in La Grande, OR
• Providers in La Grande, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.