Active NPI
Jeffrey Gold, O.D.
- Optometrist
- Feasterville Trevose, PA
National Provider Identifier
1700991114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG-000757
- Practice address
- 225 Bustleton Pike
Feasterville Trevose, PA 19053-6448 - Phone
- (215) 355-1300
- Fax
- (215) 355-8745
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | OEG-000757 | PA | Primary |
Addresses
Primary practice location
225 Bustleton Pike
Feasterville Trevose, PA 19053-6448
Mailing address
504 Newport Cir
Langhorne, PA 19053-2489
Phone (215) 355-6471
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0558984000 | Other | PA | KEYSTONE HPE |
| 119455TNB | Other | PA | NOVITAS SOLUTIONS |
| 01301081 | Medicaid | PA | |
| 5902T | Other | PA | VISION BENEFITS OF AMERIC |
| 32276 | Other | PA | DAVIS VISION |
| 55779 | Other | PA | AETNA HMO |
| 3982183 | Other | PA | AETNA HMO |
| 171080 | Other | PA | BUDD |
| 000119455 | Other | PA | IBX-HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- New England College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
225 Bustleton Pike
Feasterville Trevose, PA 19053-6448
Phone (215) 355-1300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG-000757 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I DO Eyes II, Inc. | Optometrist | Current | Accepting new patients |
Locations
225 Bustleton Pike
Langhorne, PA 19053
Phone (215) 355-1300
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.
-
- Optometrist
- Feasterville Trevose, PA
- NPI 1063520492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1700991114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 NEWPORT CIR",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190532489",
"telephone_number": "215-355-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 BUSTLETON PIKE",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190536448",
"telephone_number": "215-355-1300",
"fax_number": "215-355-8745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG-000757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HPE",
"identifier": "0558984000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVITAS SOLUTIONS",
"identifier": "119455TNB",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01301081",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "5902T",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "32276",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "55779",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3982183",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUDD",
"identifier": "171080",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBX-HIGHMARK",
"identifier": "000119455",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Feasterville Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.