Evan Bruce Gold, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

57121 Issued in MA

Practice address

400 Hillside Ave
Needham, MA 02494-1263

Phone

(781) 444-6610

Fax

(781) 455-6597

NPI assigned

Mar 23, 2006

Last updated

Apr 10, 2014By 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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Miami, LM Miller School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Needham PCGroup PAC ID 1456333020, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: egoldmd3454@direct.atrius.masshiway.net

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.

• Eye Associates of Needham PC

  • Ophthalmology Physician
  • Needham, MA
  • NPI 1164560173
  Medicare reassignment Care Compare group NPD Authorized official
• West Suburban Eye Surgery Center LLC

  dba Surgisite North

  • Ambulatory Surgical Clinic/Center
  • Chelmsford, MA
  • NPI 1194275230
  NPD Authorized official
• Eye Associates of Needham, PC

  • Optometrist
  • Needham, MA
  • NPI 1467641498
  Authorized official Same address or phone
• Atrius Health, Inc.

  dba Harvard Vanguard Medical Associates

  • Internal Medicine Physician
  • Somerville, MA
  • NPI 1154535813

  Ophthalmology

  NPD
• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914

  Ophthalmology

  NPD
• West Suburban Eye Surgery Center LLC

  dba Surgisite Boston

  • Ophthalmologic Surgery Clinic/Center
  • Waltham, MA
  • NPI 1770537227
  NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1760441034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HILLSIDE AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941263",
            "telephone_number": "781-444-6610",
            "fax_number": "781-455-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HILLSIDE AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941263",
            "telephone_number": "781-444-6610",
            "fax_number": "781-455-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "EVAN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "57121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Glass
• Glenneagle, LLC
• Nicole Leigh Glick Sr., PSYD
• Laura B Glicksman, MS DMD
• Marshaun Benjamin Glover, PH.D.
• Renee M Goldberg, M.D.
• Golden Touch Enterprises (Lice Aunties)
• Catherine Goldhouse
• Naomi R Goldman, LCSW
• Randy Kenneth Goldman, OD

• Ophthalmology Physician in Needham, MA
• Providers in Needham, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.