Bruce Goodman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0653 Issued in MD

Practice address

3309 Forestville PL
Forestville, MD 20747-4409

Phone

(301) 420-6610

Fax

(301) 735-0294

NPI assigned

Jun 13, 2006

Last updated

Jan 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rockville Optometry, LLCGroup PAC ID 8729180112, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rockville Optometry, LLC

  dba My Eye Dr.

  • Optometrist
  • Rockville, MD
  • NPI 1548325798

  DC

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Clinton, MD
  • NPI 1497124796

  DC

  Medicare reassignment
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Clarksburg, MD
  • NPI 1992512016
  NPD
• Silver Spring Optometry, LLC

  dba My Eye Dr

  • Optometrist
  • Silver Spring, MD
  • NPI 1336204387
  NPD (past)
• Summerfield Eye Associates

  • Ophthalmology Physician
  • Reisterstown, MD
  • NPI 1134236409
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1730122409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 FORESTVILLE PL",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474409",
            "telephone_number": "301-420-6610",
            "fax_number": "301-735-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BRUCE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forestville Nursing and Rehab Center LLC (Forestville Rehabilitation and Wellness Center)
• Gabrielle Lashell Gafford, OD
• Gentle Touch Senior Care
• Courtney Grace Goode, OD
• Goodman Eyecare Center, LLC (My Eye Dr.)
• Dajuana Goodman
• Nicole Griffith
• Wenonah Gwynn
• Harden Pmhnp Practice LLC
• Arithia Harden, PMHNP

• Optometrist in Forestville, MD
• Providers in Forestville, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.

Verify at the official NPI Registry.