Active NPI
Elizabeth A Goerke, OD
- Optometrist
- Des Moines, IA
National Provider Identifier
1528162922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2418
- Practice address
- 3945 Merle Hay Rd
Des Moines, IA 50310-1309 - Phone
- (515) 276-2288
- Fax
- (515) 276-2567
- NPI assigned
- Sep 7, 2006
- Last updated
- Dec 12, 2012
- Sex
- Female
- 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 | 2418 | IA | Primary |
Addresses
Primary practice location
3945 Merle Hay Rd
Des Moines, IA 50310-1309
Mailing address
3945 Merle Hay Rd
Des Moines, IA 50310-1309
Phone (515) 276-2288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1201 O St
Suite 100
Lincoln, NE 68508-1440
Phone (402) 476-7583
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 604 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 2340 | CO | MD | Psychologist |
| 2418 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Hour Optical Medical Services, PC | 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.
-
- Optometrist
- Lincoln, NE
- NPI 1538613849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1528162922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 MERLE HAY RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101309",
"telephone_number": "515-276-2288",
"fax_number": "515-276-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 MERLE HAY RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101309",
"telephone_number": "515-276-2288",
"fax_number": "515-276-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOERKE",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "2418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.