Individual provider Active NPI

Emily P Goodheart, OD

  • Optometrist
  • Portland, ME
National Provider Identifier
1548006232
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1083 Issued in ME
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

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031002851 ME Practitioner - Optometry 9234662099 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1083MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Casco Bay Eyecare LLC Optometrist CurrentSince Nov 1, 2024 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

Verify at the official NPI Registry.