Individual provider Active NPI

Mollie Jo Golden, O.D.

  • Optometrist
  • North Platte, NE
National Provider Identifier
1316359011
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1416 Issued in NE
Practice address
810 W Reid Ave Ste 1
North Platte, NE 69101-6582
Phone
(308) 221-2020
Fax
(308) 221-6017
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1416 NE Primary

Addresses

Primary practice location

810 W Reid Ave Ste 1
North Platte, NE 69101-6582

Mailing address

810 W Reid Ave Ste 1
North Platte, NE 69101-6582
Phone (308) 221-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20140701001642 NE Practitioner - Optometry 3577788744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

810 W Reid Ave
North Platte, NE 69101-6582
Phone (308) 221-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Professionals, LLC Optometrist CurrentSince Jul 2, 2016 Accepting new patients

Locations

810 W Reid Ave
Ste 1
North Platte, NE 69101
Phone (308) 221-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1316359011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W REID AVE STE 1",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016582",
            "telephone_number": "308-221-2020",
            "fax_number": "308-221-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W REID AVE STE 1",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016582",
            "telephone_number": "308-221-2020",
            "fax_number": "308-221-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "MOLLIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.