Individual provider Active NPI

Sara Goss, O.D.

  • Optometrist
  • Meadville, PA
National Provider Identifier
1194130724
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002959 Issued in PA
Practice address
1039 Park Ave
Meadville, PA 16335-4324
Phone
(814) 724-2020
Fax
(814) 337-1150
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002959 PA Primary

Addresses

Primary practice location

1039 Park Ave
Meadville, PA 16335-4324

Mailing address

1039 Park Ave
Meadville, PA 16335-4324
Phone (814) 724-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140828000129 PA Practitioner - Optometry 7618195983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goss Eye Care, LLCGroup PAC ID 9133489941, 2 clinicians

Practice addresses (Care Compare)

1039 Park Ave
Meadville, PA 16335-4324
Phone (814) 724-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goss Eye Care, LLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

1039 Park Ave
Meadville, PA 16335
Phone (814) 724-2020

Organizations & group practices 1

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1194130724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354324",
            "telephone_number": "814-724-2020",
            "fax_number": "814-337-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354324",
            "telephone_number": "814-724-2020",
            "fax_number": "814-337-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.