Carly M Goldberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

007623 Issued in NY

Practice address

550 Park Ave
New York, NY 10065-7369

Phone

(212) 832-9228

Fax

(212) 751-9482

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vaughn Vision LLCGroup PAC ID 3779751938, 2 clinicians

Albany Eye Associates Physicians and Surgeons PCGroup PAC ID 4688610629, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.79 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75.95

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drgoldberg@albanyeyeassociates.medentdirect.com

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

• Albany Eye Associates Physicians & Surgeons PC

  • Ophthalmology Physician
  • Albany, NY
  • NPI 1578659868
  Medicare reassignment Care Compare group NPD
• Vaughn Vision LLC

  • Eyewear Supplier
  • Saratoga Springs, NY
  • NPI 1487959896
  Medicare reassignment Care Compare group NPD
• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  Medicare reassignment NPD
• Sightrite Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1336562644
  Medicare reassignment NPD
• Mark Fromer, MD PC

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1194851774
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1083927149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD",
            "address_2": "STE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "212-832-9228",
            "fax_number": "212-751-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657369",
            "telephone_number": "212-832-9228",
            "fax_number": "212-751-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "CARLY",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayal S Goldberg, PSYD
• Barbara S Goldberg
• Candice Goldberg, L.C.S.W.
• Cara Lauren Goldberg
• Carly Goldberg, LCSW
• Caroline Tyler Goldberg, AGPCNP-BC
• Chase Goldberg
• Deborah Baron Goldberg, M.D.
• Devorah Goldberg, NP
• Diana Goldberg, PA

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.