Paul R Gooch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

346455-9934 Issued in UT

Practice address

965 East 700 South
Suite #100
St George, UT 84790-4084

Phone

(435) 673-5577

Fax

(438) 688-0381

NPI assigned

Jan 31, 2007

Last updated

Oct 27, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in UT

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

University of Missouri St Louis - School of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul R Gooch OD and Associates PCGroup PAC ID 5799843488, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul R Gooch OD & Associates, PC

  dba SouthWest Vision

  • Optometrist
  • St George, UT
  • NPI 1730382433
  Medicare reassignment Care Compare group NPD
• Shane R Jensen

  dba Red Rock Eye Clinic

  • Optometrist
  • Panguitch, UT
  • NPI 1548459068
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1457498305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 EAST 700 SOUTH",
            "address_2": "SUITE #100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904084",
            "telephone_number": "435-673-5577",
            "fax_number": "435-688-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 EAST 700 SOUTH",
            "address_2": "SUITE #100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904084",
            "telephone_number": "435-673-5577",
            "fax_number": "438-688-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "346455-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jacqueline Gonzales
• Alana Gonzalez
• Annalyn Gonzalez
• Chloe Gonzalez
• Kelcie Gonzalez
• Viviana Goodall
• Jean Goode, LCSW
• Alicia Lela Goodman
• Joel Goodman, D.O.
• Lisa Goodman

• Optometrist in St George, UT
• Providers in St George, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.