Individual provider Active NPI

Benjamin Gootee, O.D.

  • Optometrist
  • Columbus, IN
National Provider Identifier
1235687948
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004070B Issued in IN
Practice address
1413 Washington St
Columbus, IN 47201
Phone
(812) 372-1919
NPI assigned
Sep 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT3283 TN
Optometrist 152W00000X 18004070B IN Primary

Addresses

Primary practice location

1413 Washington St
Columbus, IN 47201

Mailing address

1413 Washington St
Columbus, IN 47201-5725
Phone (812) 372-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180228001757 IN Practitioner - Optometry 4284921784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Eye Group PCGroup PAC ID 0042479610, 9 clinicians

Practice addresses (Care Compare)

1413 Washington St
Precision Eye Group
Columbus, IN 47201-5725
Phone (812) 332-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004070BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Eye Group P.C. Optometrist CurrentSince Jun 18, 2024 Accepting new patients
Olinger and Larkin PTR Optometrist CurrentSince Jun 18, 2024 Accepting new patients
Indiana University Optometrist Past Accepting new patients

Locations

322 S Woodscrest Dr
Bloomington, IN 47401
Phone (812) 332-2020

1413 Washington St
Columbus, IN 47201
Phone (812) 332-2020

Organizations & group practices 3

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1235687948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 WASHINGTON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015725",
            "telephone_number": "812-372-1919",
            "fax_number": "833-346-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 WASHINGTON ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "47201",
            "telephone_number": "812-372-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOTEE",
        "first_name": "BENJAMIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT3283",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004070B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.