Individual provider Active NPI

Robert Charles Goulding, O.D.

  • Optometrist
  • Toledo, OH
National Provider Identifier
1316024599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2791/T864 Issued in OH
Practice address
5307 Monroe St
Toledo, OH 43623-2888
Phone
(419) 841-8550
Fax
(419) 841-8550
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2791/T864 OH Primary

Addresses

Primary practice location

5307 Monroe St
Toledo, OH 43623-2888

Mailing address

3119 Haughton Dr
Toledo, OH 43606-1807
Phone (419) 475-7726

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

LicenseStateTypeSpecialty
2791/T864OHMDOptometrist
2791OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Van LTD. Past Accepting new patients
Ultracare Physical Therapy LLC PastSince Feb 27, 2022 Accepting new patients
Quality Family Eyecare, Inc Optometrist PastSince Oct 1, 2000 Accepting new patients
Van Optical Past Accepting new patients

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316024599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 HAUGHTON DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061807",
            "telephone_number": "419-475-7726",
            "fax_number": "419-475-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232888",
            "telephone_number": "419-841-8550",
            "fax_number": "419-841-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDING",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2791/T864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.