Active NPI
Emily P Goodheart, OD
- Optometrist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT1083
- Practice address
- 141 W Commercial St
Portland, ME 04102-3905 - Phone
- (877) 421-8263
- NPI assigned
- Jul 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT1083 | ME | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
141 W Commercial St
Portland, ME 04102-3905
Mailing address
37 Casco St Apt 505
Portland, ME 04101-2941
Phone (770) 722-2857
Other practice location 1
1 Va Ctr
Augusta, ME 04330-6795
Phone (207) 623-8411
Other practice location 2
256 US Route 1
Falmouth, ME 04105-1399
Phone (207) 781-5580
Other practice location 3
1440 Congress St
Portland, ME 04102-2119
Phone (207) 772-8384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241031002851 | ME | Practitioner - Optometry | 9234662099 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT1083 | ME | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casco Bay Eyecare LLC | Optometrist | Current | Accepting new patients |
Locations
256 US Route 1
Falmouth, ME 04105
Phone (207) 274-5933
1440 Congress St
Portland, ME 04102
Phone (207) 772-8384
10 Q St
South Portland, ME 04106
Phone (207) 773-2020
Organizations & group practices 1
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": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1548006232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 CASCO ST APT 505",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012941",
"telephone_number": "770-722-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 W COMMERCIAL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023905",
"telephone_number": "877-421-8263"
}
],
"practiceLocations": [
{
"address_1": "1 Va Ctr",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "043306795",
"country_code": "US",
"telephone_number": "207-623-8411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "256 US Route 1",
"address_purpose": "LOCATION",
"city": "Falmouth",
"state": "ME",
"postal_code": "041051399",
"country_code": "US",
"telephone_number": "207-781-5580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1440 Congress St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041022119",
"country_code": "US",
"telephone_number": "207-772-8384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODHEART",
"first_name": "EMILY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT1083",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.