NPIMap

Organization Active NPI

Goulding Eyecare LLC

  • Optometrist
  • Bend, OR
National Provider Identifier
1508383381
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3428AT Issued in OR
Legal business name
GOULDING EYECARE LLC
Practice address
20120 Pinebrook Blvd
Bend, OR 97702-2537
Phone
(541) 389-2508
Fax
(763) 746-2096
NPI assigned
Aug 23, 2017
Last updated
Aug 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Mr. Joshua Thomas Goulding, ODNPI 1912280462
Title
Owner
Phone
(616) 217-7604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3428AT OR Primary

Addresses

Primary practice location

20120 Pinebrook Blvd
Bend, OR 97702-2537

Mailing address

PO Box 1170
Maple Grove, MN 55311-6170
Phone (541) 389-2508

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1508383381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1170",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553116170",
            "telephone_number": "541-389-2508",
            "fax_number": "763-746-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20120 PINEBROOK BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022537",
            "telephone_number": "541-389-2508",
            "fax_number": "763-746-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOULDING EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "GOULDING",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-217-7604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3428AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.