Jeffry S Goldthorpe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WI2720 Issued in WI

Practice address

130 Henry Drive
Portage, WI 53901-1105

Phone

(608) 742-7050

NPI assigned

Jun 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Indiana University - School of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

W S Goldthorpe IncGroup PAC ID 9739205428, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• W. S. Goldthorpe, Inc.

  dba Goldthorpe Family Eyecare

  • Optometrist
  • Portage, WI
  • NPI 1912106097
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750318226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HENRY DR",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011105",
            "telephone_number": "608-742-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HENRY DRIVE",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011105",
            "telephone_number": "608-742-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDTHORPE",
        "first_name": "JEFFRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "WI2720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38604100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea K Fried, OTR
• Bethany C Frostman
• Michele Lynn Frystak, PTA
• Conner Funnell
• James T Gariti Sr., MD
• Julie Lueck Goldthorpe, O.D.
• William Scott Goldthorpe, O.D.
• Amanda Marie Goodall, PHARMD
• Heather Jane Gove, LPC
• Bliss Grady, PA-C

• Optometrist in Portage, WI
• Providers in Portage, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.