Active NPI
Joel Go, OD
- Optometrist
- New York, NY
National Provider Identifier
1497433544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009785
- Practice address
- 33 Mott St
New York, NY 10013-5021 - Phone
- (212) 349-8688
- NPI assigned
- Jul 10, 2023
- Last updated
- Jul 10, 2023
- Sex
- Male
- 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 | TUV009785 | NY | Primary |
Addresses
Primary practice location
33 Mott St
New York, NY 10013-5021
Mailing address
40 W 72ND St Apt 61C
New York, NY 10023-4278
Phone (929) 317-9691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009785 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tse Eyewear,Inc | Optometrist | Current | Accepting new patients |
| Eye-Look Optical Inc | Optometrist | Past | Accepting new patients |
Locations
37 Mott St
New York, NY 10013
Phone (212) 349-8688
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": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1497433544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 W 72ND ST APT 61C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234278",
"telephone_number": "929-317-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MOTT ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100135021",
"telephone_number": "212-349-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GO",
"first_name": "JOEL",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV009785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.