DR. RAFAEL ANTONIO GAMBA JR. OD
NPI 1629546437
Optometrist in Canton, GA

Q: What is Rafael Gamba's NPI number?

The NPI number for Rafael Gamba is 1629546437. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Q: What is Rafael Gamba'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 Rafael Gamba was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 09, 2018PECOS EnrolledAccepts Medicare Assignment

112A RIVERSTONE PKWY, CANTON, GA 30114(770) 874-2020(470) 785-2795 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2021, Nov 9, 2018 (2 updates tracked since 2018).

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About Dr. Rafael Antonio Gamba Jr. Od NPPES

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

DR. RAFAEL ANTONIO GAMBA JR. OD (NPI 1629546437) is an individual optometrist in Canton, Georgia, licensed in Georgia (OPT003130) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2018).

NPPES Registry Identity

NPI1629546437

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RAFAEL ANTONIO GAMBA JR.Credential: OD

Location Address112A RIVERSTONE PKWYCanton, GA 30114-2448

Mailing AddressPo Box 4398Canton, GA 30114-0017 · (770) 874-2020 · Fax (470) 785-2795

Phone(770) 874-2020

Fax(470) 785-2795

Sole ProprietorNo

Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2018

Enumeration DateNovember 9, 2018

Last NPPES UpdateSeptember 21, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2021

✔ NPI 1629546437 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 GA · OPT003130

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.

112A RIVERSTONE PKWY, Canton, GA 30114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 and accepts Medicare assignment

Dr. Rafael Antonio Gamba Jr. Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325386766

PECOS Enrollment IDI20190211002134

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 30114 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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

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

HAPPY EYES LLC

Optometrist

112A RIVERSTONE PKWY
CANTON, GA 30114

Cherokee County (770) 874-2020

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 Rafael Gamba's NPI number?

The NPI number for Rafael Gamba is 1629546437. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Rafael Gamba located?

Rafael Gamba practices at 112A Riverstone Pkwy, Canton, GA 30114. The listed phone number is (770) 874-2020.

What is Rafael Gamba's specialty?

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

Is Rafael Gamba enrolled in Medicare?

Yes. Rafael Gamba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rafael Gamba accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 7 other insurers list Rafael Gamba 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 Rafael Gamba was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.