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CHARLES GAMBOA OD
NPI 1548675515
Optometrist in Washington, DC

Active since June 27, 2014PECOS Enrolled
1776 EYE ST NW, WASHINGTON, DC 20006(202) 331-3931(202) 331-3932 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Gamboa Od NPPES

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

CHARLES GAMBOA OD (NPI 1548675515) is an individual optometrist in Washington, District Of Columbia, licensed in Virginia (0618002328) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Woodbridge.

NPPES Registry Identity

NPI1548675515
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCHARLES GAMBOACredential: OD
Location Address1776 EYE ST NWWashington, DC 20006-3700
Mailing Address1950 Old Gallows Rd, 520Vienna, VA 22182-3990 · (703) 847-8899 · Fax (703) 847-8899
Phone(202) 331-3931
Fax(202) 331-3932
Sole ProprietorNo
Enumeration DateJune 27, 2014
Last NPPES UpdateMarch 17, 2018
✔ NPI 1548675515 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 VA · 0618002328
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.
1776 EYE ST NW, Washington, DC 20006
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Secondary Practice Location 1

Location 114465 Potomac Mills RdWoodbridge, VA 22192-6807 · Phone (703) 494-6184 · Fax (703) 499-9744

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Gamboa 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 20006 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 3

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

KATHRYN GRACE HUEBNER OD
Optometrist
1776 EYE ST NW
WASHINGTON, DC 20006
District of Columbia (202) 331-3931
DR. RYAN POSSE O.D.
Optometrist
1776 EYE ST NW
WASHINGTON, DC 20006
District of Columbia (202) 331-3931
EYE STREET OPTOMETRY, PLLC
Optometrist
1776 EYE ST NW
WASHINGTON, DC 20006
District of Columbia (202) 331-3931

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 Charles Gamboa's NPI number?

The NPI number for Charles Gamboa is 1548675515. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Charles Gamboa located?

Charles Gamboa practices at 1776 Eye St NW, Washington, DC 20006. The listed phone number is (202) 331-3931.

What is Charles Gamboa's specialty?

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

Is Charles Gamboa enrolled in Medicare?

Yes. Charles Gamboa is registered in the Medicare PECOS enrollment system.

What insurance does Charles Gamboa accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Charles Gamboa 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 Charles Gamboa was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.