Individual provider Active NPI

Courtney Grace Goode, OD

  • Optometrist
  • Forestville, MD
National Provider Identifier
1164947248
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2623 Issued in MD
Practice address
3309 Forestville PL
Forestville, MD 20747-4409
Phone
(301) 420-6610
Fax
(301) 735-0294
NPI assigned
Aug 9, 2017
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002906 VA
Optometrist 152W00000X TA2623 MD Primary

Addresses

Primary practice location

3309 Forestville PL
Forestville, MD 20747-4409

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442

Other practice location 1

1841 Fountain Dr
Reston, VA 20190-3326
Phone (703) 264-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180809000656 DC Practitioner - Optometry 0244588127 Reassigns benefits to 1 organization
I20200615000194 MD Practitioner - Optometry 0244588127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Crossroads Dr
Suite 113
Owings Mills, MD 21117-5480
Phone (667) 214-1111

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002906VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 20, 2020 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Sep 1, 2024 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Sep 1, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 20, 2020 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 20, 2020 Accepting new patients

Locations

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

5701 Greenbelt Rd
Ste 520
Berwyn Heights, MD 20740
Phone (301) 345-2053

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

7305 Baltimore Ave
Ste 202
College Park, MD 20740
Phone (301) 277-2100

10264 Southern Md Blvd
Ste 101
Dunkirk, MD 20754
Phone (410) 257-6931

3309 Forestville Pl
Forestville, MD 20747
Phone (301) 420-6610

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

5331 Baltimore Ave
Ste 103
Hyattsville, MD 20781
Phone (240) 391-8989

20 Crossroads Dr
Ste 113
Owings Mills, MD 21117

6178 Oxon Hill Rd
Ste 100
Oxon Hill, MD 20745
Phone (301) 245-3903

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

2955 Crain Hwy
Ste A
Waldorf, MD 20601
Phone (301) 645-3600

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: cgoode1170961@direct.umm.edu

Organizations & group practices 7

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1164947248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 FORESTVILLE PL",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474409",
            "telephone_number": "301-420-6610",
            "fax_number": "301-735-0294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 Fountain Dr",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903326",
            "country_code": "US",
            "telephone_number": "703-264-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODE",
        "first_name": "COURTNEY",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002906",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestville, MD

Sources for this page

Verify at the official NPI Registry.