Active NPI
Richard Ronald Goldston, OD
- Optometrist
- Hixson, TN
National Provider Identifier
1275509598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODT642
- Practice address
- 1920 Northpoint Blvd
Suite 102
Hixson, TN 37343 - Phone
- (423) 870-3939
- Fax
- (423) 877-0024
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | ODT642 | TN | Primary |
Addresses
Primary practice location
1920 Northpoint Blvd
Suite 102
Hixson, TN 37343
Mailing address
1920 Northpoint Blvd
Suite 102
Hixson, TN 37343
Phone (423) 870-3939
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2240056 | Other | UNITED HEALTHCARE | |
| 3593903 | Medicaid | TN | |
| 2009346 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 642 | TN | MD | Clinical Psychologist |
| ODT642 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sechler Family Vision PLLC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Hixson, TN
- NPI 1235710104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1275509598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 NORTHPOINT BLVD",
"address_2": "SUITE 102",
"city": "HIXSON",
"state": "TN",
"postal_code": "37343",
"telephone_number": "423-870-3939",
"fax_number": "423-877-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 NORTHPOINT BLVD",
"address_2": "SUITE 102",
"city": "HIXSON",
"state": "TN",
"postal_code": "37343",
"telephone_number": "423-870-3939",
"fax_number": "423-877-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTON",
"first_name": "RICHARD",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "ODT642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2240056",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3593903",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2009346",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.