Individual provider Active NPI

Joel Go, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1497433544
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009785 Issued in NY
Practice address
33 Mott St
New York, NY 10013-5021
Phone
(212) 349-8688
NPI assigned
Jul 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229004493 NY Practitioner - Optometry 5991140840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009785NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tse Eyewear,Inc Optometrist CurrentSince Jan 21, 2024 Accepting new patients
Eye-Look Optical Inc Optometrist PastSince Sep 26, 2024 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 and National Provider Directory roles.

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

Verify at the official NPI Registry.