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GARY ITZENSON O.D.
NPI 1508861311
Optometrist in Lafayette Hill, PA

Active since June 17, 2005PECOS Enrolled
413 GERMANTOWN PIKE, STE 200, LAFAYETTE HILL, PA 19444(610) 825-8210(610) 825-8208 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gary Itzenson O.d. NPPES

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

GARY ITZENSON O.D. (NPI 1508861311) is an individual optometrist in Lafayette Hill, Pennsylvania, licensed in Pennsylvania (OE006115T) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508861311
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGARY ITZENSONCredential: O.D.
Location Address413 GERMANTOWN PIKE, STE 200Lafayette Hill, PA 19444-1816
Mailing Address413 Germantown Pike Ste 200Lafayette Hill, PA 19444-1816 · (610) 825-8210 · Fax (610) 825-8208
Phone(610) 825-8210
Fax(610) 825-8208
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1508861311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in PA · OE006115T✔ Licensed in NJ · 27OA00437400
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.
413 GERMANTOWN PIKE, Lafayette Hill, PA 19444
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Other Identifiers 2

Medicaid0009138590001PA
Medicaid2205203NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Itzenson O.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gary Itzenson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lafayette Eye Associates, P.C.
Same address
Optometrist
413 GERMANTOWN PIKE
Lafayette Hill, PA 19444
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group
NPI 1770579880 (610) 825-3937
On Site Health Services PC
2.7 mi
Optometrist
482 NORRISTOWN RD, SUITE 111
Blue Bell, PA 19422
  • Reassigned Medicare billing, Delaware, New Jersey and Pennsylvania enrollments
NPI 1720083553 (610) 825-8210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19444 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 8

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

LAFAYETTE EYE ASSOCIATES, P.C.
Specialist
413 GERMANTOWN PIKE, SUITE 100
LAFAYETTE HILL, PA 19444
Montgomery County (610) 825-3937
BRUCE MARKOVITZ M.D.
Ophthalmology
413 GERMANTOWN PIKE
LAFAYETTE HILL, PA 19444
Montgomery County (610) 825-8210
KEITH L. DUNOFF, DMD, PC
Dentist
413 GERMANTOWN PIKE, SUITE 200
LAFAYETTE HILL, PA 19444
Montgomery County (610) 825-8210
TAMMRA JOY BANNER OD
Optometrist
413 GERMANTOWN PIKE, SUITE 200
LAFAYETTE HILL, PA 19444
Montgomery County (610) 825-7980
JESSICA HANEY O.D.
Optometrist
413 GERMANTOWN PIKE, STE 200
LAFAYETTE HILL, PA 19444
Montgomery County (610) 825-8210
KURT STOLTZ O.D.
Optometrist
413 GERMANTOWN PIKE, STE 200
LAFAYETTE HILL, PA 19444
Montgomery County (610) 825-8210
LAFAYETTE EYE ASSOCIATES, P.C.
Optometrist
413 GERMANTOWN PIKE
LAFAYETTE HILL, PA 19444
Montgomery County (610) 825-3937
KAREN FRENCH O.D.
Optometrist
413 GERMANTOWN PIKE, STE 200
LAFAYETTE HILL, PA 19444
Montgomery County (610) 825-8210

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 Gary Itzenson's NPI number?

The NPI number for Gary Itzenson is 1508861311. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Gary Itzenson located?

Gary Itzenson practices at 413 Germantown Pike Ste 200, Lafayette Hill, PA 19444. The listed phone number is (610) 825-8210.

What is Gary Itzenson's specialty?

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

Is Gary Itzenson enrolled in Medicare?

Yes. Gary Itzenson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gary Itzenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Itzenson reassigns Medicare benefits to 2 organizations: Lafayette Eye Associates, P.C. (Lafayette Hill, PA) and On Site Health Services PC (Blue Bell, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Itzenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Itzenson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Gary Itzenson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Itzenson was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.