Aidin Dean Gogerdchi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2312 Issued in MD

Practice address

1029 Light St
Baltimore, MD 21230-4017

Phone

(410) 752-8208

Fax

(410) 752-7144

NPI assigned

Jul 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Optometry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• D & G Eye Associates, LLC

  • Optometrist
  • Edgewater, MD
  • NPI 1982104105
  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1316201668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304017",
            "telephone_number": "410-752-8208",
            "fax_number": "410-752-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304017",
            "telephone_number": "410-752-8208",
            "fax_number": "410-752-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGERDCHI",
        "first_name": "AIDIN",
        "middle_name": "DEAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "TA2312",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda J. Goetz, C.R.N.A.
• Mallory Goetz, AGACNP-BC
• Shannon Goetz, AU.D.
• Katherine R Goetzinger, MD
• Kirsten Goff
• Genevieve B Gogerdchi, O.D.
• Bernadette Anne Marie Goggins, M.D.
• Michael Gilbert Goggins, M.D.
• Arundhati Gogineni, PHD
• Lindsay Blake Goicochea, M.D.

• Optometrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.

Verify at the official NPI Registry.