Individual provider Active NPI

Katie Marie Goldstein, O.D.

  • Optometrist
  • Central Point, OR
National Provider Identifier
1407086739
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3589AT Issued in OR
Practice address
788 S Front St
Central Point, OR 97502-2725
Phone
(541) 727-7501
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7411T TX
Optometrist 152W00000X 13923 CA
Optometrist 152W00000X 3589AT OR Primary

Addresses

Primary practice location

788 S Front St
Central Point, OR 97502-2725

Mailing address

6900 Pleasant Creek Rd
Rogue River, OR 97537-4765
Phone (503) 302-4004

Other practice location 1

1408 E Barnett Rd
Medford, OR 97504-8279
Phone (541) 779-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20150909002740 OR Practitioner - Optometry 2567515737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

904 Pacific Blvd SE
Albany, OR 97321-3149
Phone (541) 928-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
97.66
Improvement activities
40
Cost
79.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3589ATORMDOptometrist
7411TTXMDOptometrist
13923CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
McPartland Medical, Inc Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Cataract and Laser Institute of Southern Oregon PC Optometrist CurrentSince Oct 1, 2017 Accepting new patients
Eyecare Associates PC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Estes Enterprizes, LLC Optometrist PastSince Feb 1, 2025 Accepting new patients
Heritage Valley Eye Care Optometric Center Optometrist PastSince Sep 24, 2013 Accepting new patients

Locations

2119 Pacific Blvd SW
Ste 101
Albany, OR 97321
Phone (541) 928-2020

904 Pacific Blvd SE
Albany, OR 97321
Phone (541) 928-2020

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

788 S Front St
Ste A
Central Point, OR 97502
Phone (541) 727-7501

788 S Front St
Central Point, OR 97502
Phone (541) 727-7501

100 Mullins Dr
Ste B3
Lebanon, OR 97355
Phone (541) 451-5808

1408 E Barnett Rd
Medford, OR 97504
Phone (503) 779-2464

Organizations & group practices 5

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407086739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PLEASANT CREEK RD",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975374765",
            "telephone_number": "503-302-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 S FRONT ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022725",
            "telephone_number": "541-727-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 E Barnett Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048279",
            "country_code": "US",
            "telephone_number": "541-779-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7411T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13923",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3589AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

Verify at the official NPI Registry.