NPIMap

Organization Active NPI

Kimberley D Goss OD PA

  • Optometrist
  • Falmouth, ME
National Provider Identifier
1639571557
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KIMBERLEY D GOSS OD PA
Practice address
75 Leighton Rd
Falmouth, ME 04105-2207
Phone
(207) 797-2990
Fax
(207) 797-0990
NPI assigned
Sep 23, 2014
Last updated
Sep 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Kimberley D Goss, ODNPI 1689822983
Title
Owner/OD
Phone
(207) 797-2990

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 Primary

Addresses

Primary practice location

75 Leighton Rd
Falmouth, ME 04105-2207

Mailing address

75 Leighton Rd
Falmouth, ME 04105-2207
Phone (207) 797-2990

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": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1639571557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052207",
            "telephone_number": "207-797-2990",
            "fax_number": "207-797-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LEIGHTON RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052207",
            "telephone_number": "207-797-2990",
            "fax_number": "207-797-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLEY D GOSS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "207-797-2990",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.