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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KATHLEEN MARIE GAYNOR OD
NPI 1407803752
Optometrist in Johnson City, NY

Active since May 30, 2006PECOS Enrolled
48 HARRISON STREET, JOHNSON CITY, NY 13790(607) 729-5016(607) 729-7574 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen Marie Gaynor Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN MARIE GAYNOR OD (NPI 1407803752) is an individual optometrist in Johnson City, New York, licensed in New York (TUV006927) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407803752
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHLEEN MARIE GAYNORCredential: OD
Location Address48 HARRISON STREETJohnson City, NY 13790
Mailing Address48 Harrison StreetJohnson City, NY 13790 · (607) 729-5016 · Fax (607) 729-7574
Phone(607) 729-5016
Fax(607) 729-7574
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407803752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV006927
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
48 HARRISON STREET, Johnson City, NY 13790
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen Marie Gaynor Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD MICHAEL SIMON MD
Ophthalmology
48 HARRISON STREET
JOHNSON CITY, NY 13790
Broome County (607) 729-5016
DR. STEVEN EMIL GOLDENBERG OD
Optometrist
48 HARRISON STREET
JOHNSON CITY, NY 13790
Broome County (607) 729-5016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Gaynor's NPI number?

The NPI number for Kathleen Gaynor is 1407803752. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Kathleen Gaynor located?

Kathleen Gaynor practices at 48 Harrison Street, Johnson City, NY 13790. The listed phone number is (607) 729-5016.

What is Kathleen Gaynor's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kathleen Gaynor enrolled in Medicare?

Yes. Kathleen Gaynor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Gaynor was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.