Organization Active NPI

Goepfert Eye Associates, Inc.

  • Optometrist
  • Hershey, PA
National Provider Identifier
1598780470
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000402 Issued in PA
Legal business name
GOEPFERT EYE ASSOCIATES, INC.
Practice address
1831 E Chocolate Ave
Hershey, PA 17033-1124
Phone
(717) 533-5990
Fax
(717) 533-4072
NPI assigned
Jul 13, 2006
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Dr. Douglas J. Goepfert, O.D.NPI 1265429377
Title
Owner
Phone
(717) 533-5990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000399 PA
Optometrist 152W00000X OEG000402 PA Primary

Addresses

Primary practice location

1831 E Chocolate Ave
Hershey, PA 17033-1124

Mailing address

1831 E Chocolate Ave
Hershey, PA 17033-1124
Phone (717) 533-5990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091124000293 PA Part B Supplier - Clinic/Group Practice 8921147307 Receives reassigned benefits from 3 practitioners
Practice locations: Hershey, PA
O20100930052311 PA DME Supplier - Physician - Optometrist 8921147307 Practice locations: Hershey, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2122767Goepfert Eye Associates, Inc1831 East Chocolate Avenue, Hershey, PA 17033Certificate of waiverDec 5, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Goepfert Eye Associates Inc1831 East Chocolate Ave, Hershey, PA 17033-1177(717) 535-5990 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 8, 2009

National Provider Directory

National Provider Directory

Locations

1831 E Chocolate Ave
Hershey, PA 17033
Phone (717) 233-3937

Practitioners & affiliated clinicians

Practitioners 4

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1598780470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331124",
            "telephone_number": "717-533-5990",
            "fax_number": "717-533-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331124",
            "telephone_number": "717-533-5990",
            "fax_number": "717-533-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOEPFERT EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "GOEPFERT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-533-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000399",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.