Individual provider Active NPI

Julie Alana Gossard, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1497103774
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6456 Issued in OH
Practice address
3360 Tremont Rd
Suite 200
Columbus, OH 43221-2111
Phone
(614) 486-5205
Fax
(614) 486-0354
NPI assigned
May 27, 2016
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6456 OH Primary

Addresses

Primary practice location

3360 Tremont Rd
Suite 200
Columbus, OH 43221-2111

Mailing address

3360 Tremont Rd
Suite 200
Columbus, OH 43221-2111
Phone (614) 486-5205

Other names 1

  • Julie Alana Stickel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160708002203 OH Practitioner - Optometry 1254623390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eyecare Professionals LLCGroup PAC ID 4183778764, 6 clinicians

Practice addresses (Care Compare)

3360 Tremont Rd
Suite 200
Columbus, OH 43221-2111
Phone (614) 486-5205

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James C Bieber OD Optometrist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1497103774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 TREMONT RD",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212111",
            "telephone_number": "614-486-5205",
            "fax_number": "614-486-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 TREMONT RD",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212111",
            "telephone_number": "614-486-5205",
            "fax_number": "614-486-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSARD",
        "first_name": "JULIE",
        "middle_name": "ALANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "STICKEL",
            "middle_name": "ALANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.