Individual provider Active NPI

Elizabeth Goodnight, O.D.

  • Optometrist
  • Alpharetta, GA
National Provider Identifier
1184638330
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002179 Issued in GA
Practice address
6175 Harbour Overlook
Alpharetta, GA 30005-6901
Phone
(713) 851-1017
NPI assigned
Jul 27, 2006
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002179 GA Primary

Addresses

Primary practice location

6175 Harbour Overlook
Alpharetta, GA 30005-6901

Mailing address

6175 Harbour Overlook
Alpharetta, GA 30005-6901
Phone (713) 851-1017

Other practice location 1

14815B Southwest Fwy
Sugar Land, TX 77478-5016
Phone (281) 265-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200609000390 GA Practitioner - Optometry 4587653324 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002179GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Georgia Optometrist CurrentSince Nov 15, 2024 Accepting new patients
Memorial Eye, PA Optometrist Past Accepting new patients
Memorial Eye, PA Optometrist Past Accepting new patients

Locations

1455 Riverstone Pkwy
Ste 110
Canton, GA 30114
Phone (770) 479-0500

1401 Johnson Ferry Rd
Ste 148B
Marietta, GA 30062
Phone (770) 509-8480

10775 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 998-0331

316 S Hamilton Rd
Gahanna, OH 43230

Organizations & group practices 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1184638330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 HARBOUR OVERLOOK",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300056901",
            "telephone_number": "713-851-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 HARBOUR OVERLOOK",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300056901",
            "telephone_number": "713-851-1017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14815B Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774785016",
            "country_code": "US",
            "telephone_number": "281-265-1001",
            "fax_number": "281-265-1286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODNIGHT",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.