Tory Justine Goode, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7671967-9934 Issued in UT

Practice address

425 E 1200 S
Ste. 200
Heber City, UT 84032-3943

Phone

(435) 657-1555

Fax

(435) 657-1556

NPI assigned

Feb 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

University of Houston - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mountain View Family Eyecare PLLC

  • Optometrist
  • Heber City, UT
  • NPI 1801198247
  Medicare reassignment NPD Authorized official
• Meadowbrook Counseling of Utah LLC

  • Mental Health Counselor
  • Orem, UT
  • NPI 1225619737
  NPD (past)

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1154569796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840320511",
            "telephone_number": "713-320-1300",
            "fax_number": "435-657-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 1200 S",
            "address_2": "STE. 200",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323943",
            "telephone_number": "435-657-1555",
            "fax_number": "435-657-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "TORY",
        "middle_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3297ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7211T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7671967-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Fullmer, DMD
• Functional Integration Studios LLC
• McKenzie Gardner
• Rebecca Gardner
• Katherine Gillespie
• Gordon S Olsen, DO PC
• Deanna Gordon, DEM
• Nita Sue Graham, LSW
• Wayne R Graham, D.O.
• Jamar Romanceles Grayson, D.O.

• Optometrist in Heber City, UT
• Providers in Heber City, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.