Active NPI
Cody Good, OD
- Optometrist
- Marysville, WA
National Provider Identifier
1124642475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD61079084
- Practice address
- 1098 Alder Ave
Marysville, WA 98270-4318 - Phone
- (360) 659-6255
- NPI assigned
- Jun 2, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD61079084 | WA | Primary |
Addresses
Primary practice location
1098 Alder Ave
Marysville, WA 98270-4318
Mailing address
4710 Aurora Ave N Apt 101
Seattle, WA 98103-6545
Phone (765) 698-5859
Other practice location 1
27520 Covington Way SE
Covington, WA 98042-9100
Phone (253) 796-1015
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1098 Alder Ave
Marysville, WA 98270-4318
Phone (360) 659-6255
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Optometrist
- Bellevue, WA
- NPI 1134835176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1124642475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 AURORA AVE N APT 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036545",
"telephone_number": "765-698-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 ALDER AVE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982704318",
"telephone_number": "360-659-6255"
}
],
"practiceLocations": [
{
"address_1": "27520 Covington Way SE",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "WA",
"postal_code": "980429100",
"country_code": "US",
"telephone_number": "253-796-1015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOOD",
"first_name": "CODY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-02",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD61079084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.