Holly Brianna Goodwin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005630 Issued in MI

Practice address

409 W Ludington Ave
Ludington, MI 49431-2377

Phone

(231) 843-4117

NPI assigned

Jun 22, 2022

Last updated

Mar 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Coast Vision PCGroup PAC ID 1254660590, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.24 of 100Reported as group

Quality

86.49

Improvement activities

40

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Coast Vision PC

  • Optometrist
  • Manistee, MI
  • NPI 1760035869
  Medicare reassignment Care Compare group NPD
• West Shore Eye Care PC

  • Optometrist
  • Ludington, MI
  • NPI 1619165800
  Medicare reassignment

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1215668181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 N MEYERS RD",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494319631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W LUDINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312377",
            "telephone_number": "231-843-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "HOLLY",
        "middle_name": "BRIANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Gokce, LMSW
• Anjou Golden
• Good Life Counseling Services, PLLC
• Karen Marlene Goodman, MSW, CSW
• Goodwill Optical Inc (Goodwill Optical)
• Lauren Ashlee Goslin, OD
• Ashleigh Elaine Graham, PA
• Kenneth Graham
• Karen Lynn Grasmeyer, LBSW
• Great Lakes Caring Home Health NW Mi, LLC (Elara Caring)

• Optometrist in Ludington, MI
• Providers in Ludington, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.