DR. JAMES JOHN GAUDIO O.D.
NPI 1619902996
Optometrist in Maspeth, NY

Q: What is James Gaudio's NPI number?

The NPI number for James Gaudio is 1619902996. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is James Gaudio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Gaudio was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 12, 2006PECOS Enrolled

6911 GRAND AVE, MASPETH, NY 11378(718) 458-5055(718) 458-8453 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. James John Gaudio O.d. NPPES

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

DR. JAMES JOHN GAUDIO O.D. (NPI 1619902996) is an individual optometrist in Maspeth, New York, licensed in New York (VUT005179) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619902996

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JAMES JOHN GAUDIOCredential: O.D.

Location Address6911 GRAND AVEMaspeth, NY 11378-1812

Mailing Address6911 Grand AveMaspeth, NY 11378-1812 · (718) 458-5055 · Fax (718) 458-8453

Phone(718) 458-5055

Fax(718) 458-8453

Sole ProprietorYes

Enumeration DateJuly 12, 2006

Last NPPES UpdateDecember 20, 2007

✔ NPI 1619902996 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 · VUT005179

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.

6911 GRAND AVE, Maspeth, NY 11378

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Other Identifiers 2

Medicare PIN05922GNY

Medicare UPINU29390NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Dr. James John Gaudio 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

29 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11378 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

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.

SUPER VISION EYE CARE OF MASPETH INC

Optometrist

6911 GRAND AVE
MASPETH, NY 11378

Queens County (718) 458-5055

SHARP VISION OPTICAL INC.

Eyewear Supplier

6911 GRAND AVE
MASPETH, NY 11378

Queens County (718) 458-5055

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 James Gaudio's NPI number?

The NPI number for James Gaudio is 1619902996. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is James Gaudio located?

James Gaudio practices at 6911 Grand Ave, Maspeth, NY 11378. The listed phone number is (718) 458-5055.

What is James Gaudio's specialty?

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

Is James Gaudio enrolled in Medicare?

Yes. James Gaudio is registered in the Medicare PECOS enrollment system.

What insurance does James Gaudio accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list James Gaudio 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 James Gaudio was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.