Active NPI
Korrin Aldine Goode, OD
- Optometrist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35806-TLG
- Practice address
- 11972 Bernardo Plaza Dr
San Diego, CA 92128-2538 - Phone
- (858) 451-1250
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT35806-TLG | CA | Primary |
Addresses
Primary practice location
11972 Bernardo Plaza Dr
San Diego, CA 92128-2538
Mailing address
5428 New Mills Rd
San Diego, CA 92115-2247
Phone (619) 861-2488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11717 Bernardo Plaza CT
Suite 105
San Diego, CA 92128-2419
Phone (858) 487-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT35806-TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision PC | Optometrist | Current | Accepting new patients |
| Dr. Lee & Lee Optometric Professional Corp. | Optometrist | Current | Accepting new patients |
| Dr. Lee & Lee Optometric Professional Corp. | Optometrist | Current | Accepting new patients |
| Crum Optometric Group, Inc | Optometrist | Past | Accepting new patients |
| Michael a Goldsmid, O.D., an Optometric Corporation | Past | Accepting new patients | |
| Steven T Klein OD & Kimberly Plattner OD a Professional Corporation | Optometrist | Past | Accepting new patients |
| Seal Beach Eyes Optometry Inc | Optometrist | Past | Accepting new patients |
| Marina Eyecare Center | Optometrist | Past | Accepting new patients |
| Daniel and Davis Optometry, Inc. | Past | Accepting new patients | |
| Mark a. Chung, O.D., a Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
3144 El Camino Real
Ste 202
Carlsbad, CA 92008
Phone (760) 434-3314
2581 Chino Hills Pkwy
Ste C
Chino Hills, CA 91709
Phone (909) 393-8378
12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287
27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691
1 W California Blvd
Ste 513
Pasadena, CA 91105
Phone (626) 382-2509
4515 Central Ave
Ste 101
Riverside, CA 92506
Phone (909) 784-2420
3750 Sports Arena Blvd
Ste 9
San Diego, CA 92110
Phone (619) 224-2879
7770 Regents Rd
Ste 104
San Diego, CA 92122
Phone (858) 546-1940
5990 Santo Rd
San Diego, CA 92124
Phone (858) 345-5352
11972 Bernardo Plaza Dr
San Diego, CA 92128
Phone (619) 300-8557
11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555
1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031
8205 Santa Monica Blvd
Ste 15
West Hollywood, CA 90046
Phone (323) 650-0337
Organizations & group practices 10
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.
-
- Optometrist
- San Diego, CA
- NPI 1356813711
-
- Optometrist
- San Diego, CA
- NPI 1386471993
-
- Optometrist
- San Diego, CA
- NPI 1932070430
-
- Optometrist
- Chino Hills, CA
- NPI 1831378843
-
- Vision Therapy Optometrist
- Carlsbad, CA
- NPI 1184808800
-
- Optometrist
- Los Angeles, CA
- NPI 1407917701
-
- Optometrist
- West Hollywood, CA
- NPI 1861800997
-
- Corneal and Contact Management Optometrist
- San Diego, CA
- NPI 1851617567
-
- Optometrist
- Seal Beach, CA
- NPI 1124171566
-
- Optometrist
- San Diego, CA
- NPI 1861529703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1215768395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5428 NEW MILLS RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921152247",
"telephone_number": "619-861-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11972 BERNARDO PLAZA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282538",
"telephone_number": "858-451-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "KORRIN",
"middle_name": "ALDINE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT35806-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.