Mark T Goulas, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD26698 Issued in SC

Practice address

23 Plantation Park Dr Ste 401
Bluffton, SC 29910-6094

Phone

(843) 815-5454

Fax

(843) 757-9665

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goulas EyeGroup PAC ID 1052545241, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.92 of 100Reported as group

Quality

95

Improvement activities

40

Cost

76.4

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: markgoulas@goulaseye.direct.eyemdemr.com

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.

• Goulas Eye

  • Ophthalmology Physician
  • Bluffton, SC
  • NPI 1629419007
  Medicare reassignment Care Compare group NPD
• Ridgeland Eye Associates LLC

  • Ophthalmology Physician
  • Ridgeland, SC
  • NPI 1518143221
  NPD (past) Authorized official
• Low Country Eye Associates, LLC

  • Ophthalmology Physician
  • Bluffton, SC
  • NPI 1588752240
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1457449183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR",
            "address_2": "SUITE 401",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106038",
            "telephone_number": "843-815-5454",
            "fax_number": "843-757-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK DR STE 401",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106094",
            "telephone_number": "843-815-5454",
            "fax_number": "843-757-9665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 N Main St Unit A",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299266603",
            "country_code": "US",
            "telephone_number": "843-815-5454",
            "fax_number": "843-757-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULAS",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "MD26698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203414543",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266982",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Gonzalez
• Good Hope Medical Associates
• Kathryn L Goodman, PT
• Issac T Gordon
• Goulas Eye
• Jessica Mattison Gower, D.M.D.
• Morgan Olivia Gracia
• Diana Grafft, MA/CCC-SLP
• Anne Marie Grantner
• Mary Grebe, COTA

• Ophthalmology Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.