Individual provider Active NPI

Ernesto Datoc Golez III, M.D.

  • Ophthalmology Physician
  • Mount Vernon, WA
National Provider Identifier
1114212750
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
60391417 Issued in WA
Practice address
2100 Little Mountain LN
Mount Vernon, WA 98274-8752
Phone
(360) 416-6735
NPI assigned
Jun 11, 2011
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 60391417 WA Primary

Addresses

Primary practice location

2100 Little Mountain LN
Mount Vernon, WA 98274-8752

Mailing address

1812 Bakerview Court
Mount Vernon, WA 98274-6497
Phone (360) 630-3976

Other practice location 1

1920 116th Avenue Northeast
Bellevue, WA 98004-3218
Phone (425) 454-3937

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cascadia.eye@direct.ncascade.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140929002774 WA Practitioner - Ophthalmology 8426278227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Cascade Eye Associates PSGroup PAC ID 5991699498, 12 clinicians

Practice addresses (Care Compare)

2100 Little Mountain LN
Mount Vernon, WA 98274-8752
Phone (360) 416-6735

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60391417WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Cascade Eye Associates PS Ophthalmology CurrentSince Dec 12, 2018 Accepting new patients
North Cascade Eye Associates PS Ophthalmology CurrentSince Dec 12, 2018 Accepting new patients
North Cascade Eye Associates PS Ophthalmology Past Accepting new patients

Locations

202 N Main St
Coupeville, WA 98239
Phone (360) 678-3121

1930 Market St
Mount Vernon, WA 98273
Phone (360) 424-2020

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

2131 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 416-6735

Interoperability endpoints

  • Direct secure messaging: cascadia.eye@direct.ncascade.nextgenshare.com
  • Direct secure messaging: egolez@cascadia.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1114212750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BAKERVIEW COURT",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982746497",
            "telephone_number": "360-630-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-416-6735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 116th Avenue Northeast",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043218",
            "country_code": "US",
            "telephone_number": "425-454-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLEZ",
        "first_name": "ERNESTO",
        "middle_name": "DATOC",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-11",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "60391417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cascadia.eye@direct.ncascade.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2100 Little Mountain Ln",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982748752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.