Active NPI
Madison R Goodfellow
- Optometrist
- Chicago, IL
National Provider Identifier
1437717832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011306
- Practice address
- 3241 S Michigan Ave
Chicago, IL 60616-4201 - Phone
- (312) 949-7751
- NPI assigned
- May 31, 2019
- Last updated
- Jun 6, 2019
- Sex
- Female
- 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 | 046011306 | IL | Primary |
Addresses
Primary practice location
3241 S Michigan Ave
Chicago, IL 60616-4201
Mailing address
3241 S Michigan Ave
Chicago, IL 60616-4201
Phone (312) 949-7751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Illinois College of Optometry at Chicago, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16205 W 64TH Ave
Arvada, CO 80007-7401
Phone (303) 424-2991
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneopto Co 1 PLLC | Optometrist | 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.
-
- Optometrist
- Arvada, CO
- NPI 1497856017
-
- Optometrist
- Louisville, CO
- NPI 1295950848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1437717832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3241 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164201",
"telephone_number": "312-949-7751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3241 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164201",
"telephone_number": "312-949-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODFELLOW",
"first_name": "MADISON",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.