Active NPI
Courtney Grace Goode, OD
- Optometrist
- Forestville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2623
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002906 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| University of Maryland Eye Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Eye Associates, P.a. | Current | Accepting new patients | |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | 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
- 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.
-
dba University Eye Care
- Ophthalmology Physician
- Baltimore, MD
- NPI 1285655829
-
- Eyewear Supplier
- Columbia, MD
- NPI 1194234849
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
- Family Home Medical Equipment and Supplies
- Shinise Fields
- Forestville Nursing and Rehab Center LLC (Forestville Rehabilitation and Wellness Center)
- Gabrielle Lashell Gafford, OD
- Gentle Touch Senior Care
- Goodman Eyecare Center, LLC (My Eye Dr.)
- Bruce Goodman, OD
- Dajuana Goodman
- Nicole Griffith
- Wenonah Gwynn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.