Individual provider Active NPI

Chelsey Goss, OD

  • Optometrist
  • Bartlesville, OK
National Provider Identifier
1154094142
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3125 Issued in OK
Practice address
3615 SE Kentucky St
Bartlesville, OK 74006
Phone
(918) 252-2020
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3125 OK Primary

Addresses

Primary practice location

3615 SE Kentucky St
Bartlesville, OK 74006

Mailing address

6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20210811002727 OK Practitioner - Optometry 3072917145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Eye Institute PLLCGroup PAC ID 6507083557, 36 clinicians

Practice addresses (Care Compare)

3615 SE Kentucky St
Bartlesville, OK 74006-2324
Phone (918) 333-2020

Merit-based Incentive Payment System (MIPS)

Final score
98.94 of 100Reported as individual
Quality
98.08
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3125OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Eye Institute PLLC Optometrist CurrentSince Aug 5, 2021 Accepting new patients
Triad Surgery Center LLC Past Accepting new patients
Triad Surgery Center, LLC Past Accepting new patients
Triad Surgery Center LLC Past Accepting new patients
Triad Surgery Center LLC Past Accepting new patients

Locations

3615 SE Kentucky St
Bartlesville, OK 74006
Phone (800) 354-2020

1715 N Lynn Riggs Blvd
#1
Claremore, OK 74017
Phone (918) 342-4222

63223 E 290 Rd
Grove, OK 74344
Phone (918) 786-3931

1001 E Wyandotte Ave
McAlester, OK 74501
Phone (918) 302-9232

3131 Military Blvd
Muskogee, OK 74401
Phone (918) 290-2300

1020 NE 1st St
Pryor, OK 74361
Phone (918) 342-4222

3906 S Peoria Ave
Tulsa, OK 74105
Phone (918) 585-1523

6140 S Memorial Dr
Tulsa, OK 74133
Phone (918) 252-2020

8023 E 63rd Pl
Ste 500
Tulsa, OK 74133
Phone (918) 252-2020

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1154094142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331933",
            "telephone_number": "918-252-2020",
            "fax_number": "918-307-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SE KENTUCKY ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "918-252-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "CHELSEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.