Todd Alan Goodglick, MD, PC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

TODD ALAN GOODGLICK, MD, PC

Practice address

5530 Wisconsin Ave Ste 1209
Chevy Chase, MD 20815-4301

Phone

(202) 412-9895

NPI assigned

Oct 19, 2022

Last updated

Jan 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd Goodglick, MDNPI 1053315036

Title

President

Phone

(202) 412-9895

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

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.

• Todd A Goodglick, MD

  • Neuro-ophthalmology Physician
  • Chevy Chase, MD
  • NPI 1053315036

  DC

  Medicare reassignment NPD Authorized official
• Brooks Gideon Brown III, MD

  • Ophthalmology Physician
  • Chevy Chase, MD
  • NPI 1376679043

  DC

  Medicare reassignment NPD
• Kourosh Nazari, M.D.

  • Ophthalmology Physician
  • Deland, FL
  • NPI 1881685741
  NPD
• Robynne Kamala Chutkan, M.D.

  • Gastroenterology Physician
  • Chevy Chase, MD
  • NPI 1437212347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1720704869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 ORDWAY ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1209",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154301",
            "telephone_number": "202-412-9895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11300 Rockville Pike Ste 1202",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523040",
            "country_code": "US",
            "telephone_number": "301-841-6595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 Connecticut Ave NW Ste 125",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200082332",
            "country_code": "US",
            "telephone_number": "301-841-6595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TODD ALAN GOODGLICK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "GOODGLICK",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-412-9895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeslin P Thomas, DPT
• Rachel Thomas, PSYD
• Caroline Lee Thompson, OD
• Kimberly Dawn Thorner, LMFT
• Brandon Tuan Tieu, DPT
• Samantha Adrienne Toerge, MD
• Adeola O Togun, MD
• Lisa Michelle Tom, M.D.
• Meggie S Tortolero, PA
• Christine R Totri, MD, MAS

• Ophthalmic Plastic and Reconstructive Surgery Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.