Active NPI
Richard Goodwin, O.D.
- Optometrist
- Houlton, ME
National Provider Identifier
1275727570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 611T
- Practice address
- 75 Main St
Houlton, ME 04730-2122 - Phone
- (207) 532-2486
- Fax
- (207) 532-9242
- NPI assigned
- Aug 29, 2007
- Last updated
- Nov 13, 2012
- Sex
- Male
- 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 | 611T | ME | Primary |
Addresses
Primary practice location
75 Main St
Houlton, ME 04730-2122
Mailing address
75 Main St
Houlton, ME 04730-2122
Phone (207) 532-2486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5676080001 | Other | MEDICARE DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- 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
- New England College of Optometry, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
75 Main St
Houlton, ME 04730-2122
Phone (207) 532-2486
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 611T | ME | MD | Optometrist |
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.
-
- Optometrist
- Houlton, ME
- NPI 1497809388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1275727570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 MAIN ST",
"city": "HOULTON",
"state": "ME",
"postal_code": "047302122",
"telephone_number": "207-532-2486",
"fax_number": "207-532-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MAIN ST",
"city": "HOULTON",
"state": "ME",
"postal_code": "047302122",
"telephone_number": "207-532-2486",
"fax_number": "207-532-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-29",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "611T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "5676080001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houlton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.