Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gerard R D'Aversa, OD

Individual provider Optometrist · NPI 1104319219

Dr. Gerard R D'Aversa, OD is an Optometry in Valley Stream, New York. Graduated from State University of New York - State College Optometry in 2018, 8 years ago. Practices with Ophthalmic Consultants of Long Island, a 105-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

70 E Sunrise Hwy Ste 400
Valley Stream, NY 11581-1233
Phone: (516) 374-4199
Fax: (516) 295-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 132 E 76th St Ofc 2d, New York, NY 10021-2850 — (212) 205-2151
  • 2001 Marcus Ave Ste W286, North New Hyde Park, NY 11042-1011 — (516) 374-4199

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 008756 (NY)

Record details

NPI number1104319219
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Ophthalmic Consultants Of Long Island — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Valley Stream