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

Dr. Gerardo Guadarrama Jr., OD

Individual provider Optometrist · NPI 1215771043

Dr. Gerardo Guadarrama Jr., OD is an Optometry in Raleigh, North Carolina. Graduated from Pennsylvania College of Optometry in 2024, 2 years ago. Practices with Eyecarecenter OD PA, a 71-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Trained at
Pennsylvania College of Optometry
Licensed in
NC
In the registry since
2024
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

4325 Glenwood Ave
Raleigh, NC 27612-4532
Phone: (919) 782-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0000000000 (NC)

Record details

NPI number1215771043
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Eyecarecenter Od Pa — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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