Jessica Goldman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14116 TLG Issued in CA

Practice address

681 Third Ave
Chula Vista, CA 91910

Phone

(619) 420-2111

NPI assigned

Aug 23, 2010

Sex

Female

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 CA

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

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Sebastopol Medical GroupGroup PAC ID 1052362696, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317

Merit-based Incentive Payment System (MIPS)

Final score

88.63 of 100Reported as group

Quality

98.04

Improvement activities

40

Cost

64.71

Merit-based Incentive Payment System (MIPS)

Final score

84.82 of 100Reported as group

Quality

96.29

Improvement activities

40

Cost

54.36

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgoldman@eyephysmedsurg.direct.eyemdemr.com

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.

• Eye Associates of Sebastopol Medical Group Inc

  • Ophthalmology Physician
  • Sebastopol, CA
  • NPI 1295729382
  Medicare reassignment Care Compare group NPD
• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• Eye Physicians Medical Surgical Center

  • Eyewear Supplier
  • Chula Vista, CA
  • NPI 1538135694
  Medicare reassignment NPD
• Eye Associates of Sebastopol Medical Group

  • Eyewear Supplier
  • Sebastopol, CA
  • NPI 1619012119

  Optometrist

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Care Compare affiliation

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1740596147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105703",
            "telephone_number": "619-420-2111",
            "fax_number": "619-585-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-420-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14116 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Chwen Hsien Goh, OT
• Teresa Mari Gohara, DPT
• Caitlin Gokey, DPT
• Jana Rachel Goldberg, MA, BCBA
• Bruce Alan Goldman, DDS
• Kristine D Goldstein, PT
• Henry E Golembesky, M.D.
• Jonae Kawehelani Goleta, RN, PHN
• Yello Goller
• Greg Golod, AU.D.

• Optometrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.