Active NPI
Ernesto Datoc Golez III, M.D.
- Ophthalmology Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 60391417
- Practice address
- 2100 Little Mountain LN
Mount Vernon, WA 98274-8752 - Phone
- (360) 416-6735
- NPI assigned
- Jun 11, 2011
- Last updated
- Dec 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60391417 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Cascade Eye Associates PS | Ophthalmology | Current | Accepting new patients |
| North Cascade Eye Associates PS | Ophthalmology | Current | 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
- cascadia.eye@direct.ncascade.nextgenshare.com
- egolez@cascadia.emadirect.md
- 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.
-
- Ophthalmology Physician
- Mount Vernon, WA
- NPI 1093750481
-
dba Cascadia Eye
- Ophthalmology Physician
- Mount Vernon, WA
- NPI 1811749013
-
- Ophthalmology Physician
- Coupeville, WA
- NPI 1518495282
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.