Individual provider Active NPI

Douglas J. Goepfert, O.D.

  • Optometrist
  • Hershey, PA
National Provider Identifier
1265429377
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000399 Issued in PA
Practice address
1831 E Chocolate Ave
Hershey, PA 17033-1124
Phone
(717) 533-5990
Fax
(717) 533-4072
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000399 PA Primary

Addresses

Primary practice location

1831 E Chocolate Ave
Hershey, PA 17033-1124

Mailing address

1831 E Chocolate Ave
Hershey, PA 17033-1124
Phone (717) 533-5990

Other identifiers 1

IdentifierTypeStateIssuer
OEG000399OtherPAPA STATE LICENSE

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
I20091124000347 PA Practitioner - Optometry 7911046305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goepfert Eye Associates, Inc.Group PAC ID 8921147307, 3 clinicians

Practice addresses (Care Compare)

1831 E Chocolate Ave
Hershey, PA 17033-1124
Phone (717) 533-5990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000399PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Goepfert Eye Associates, Inc. Optometrist CurrentSince May 1, 1983 Accepting new patients

Locations

1831 E Chocolate Ave
Hershey, PA 17033
Phone (717) 233-3937

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, 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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1265429377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331124",
            "telephone_number": "717-533-5990",
            "fax_number": "717-533-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331124",
            "telephone_number": "717-533-5990",
            "fax_number": "717-533-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEPFERT",
        "first_name": "DOUGLAS",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE",
            "identifier": "OEG000399",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.