Lisa Goslak, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1761 Issued in TN

Practice address

1800 Galleria Blvd Ste 2321
Franklin, TN 37067-1694

Phone

(615) 771-7382

Fax

(615) 771-7295

NPI assigned

Dec 26, 2006

Last updated

Oct 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calvert Opthalmology PSCGroup PAC ID 5193740959, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Calvert Opthalmology PSC

  dba Calvert Ophthalmology Center

  • Ophthalmology Physician
  • Clarksville, TN
  • NPI 1326210451
  Medicare reassignment Care Compare group NPD
• James L Ducklo OD

  dba James L Ducklo Od and Associates

  • Optometrist
  • Antioch, TN
  • NPI 1285786145
  NPD (past)
• Calvert Opthalmology PSC

  dba Calvert Ophthalmology Center

  • Ophthalmology Physician
  • Hopkinsville, KY
  • NPI 1508036831
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1073678595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WILMA RUDOLPH BLVD",
            "address_2": "SUITE 665",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405011",
            "telephone_number": "931-552-4455",
            "fax_number": "931-552-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GALLERIA BLVD STE 2321",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671694",
            "telephone_number": "615-771-7382",
            "fax_number": "615-771-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSLAK",
        "first_name": "LISA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3941218",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Goodrick, APRN
• Paris Goodyear-Brown, LCSW, RPT-S
• Laura Davidson Gordey, PT, DPT, PCES
• Carrie Gormley
• Emily Gormley, DPT
• Daryl Keith Granger II, DO
• Andrew Palmer Grant, PHARMD
• Hannah Grant
• Jerkevia Grant, B.S., RBT
• Grassland Chiropractic & Rehabilitation Clinic

• Optometrist in Franklin, TN
• Providers in Franklin, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.