Individual provider Active NPI

Dorrine H Goldschmidt, O.D.

  • Optometrist
  • Gardendale, AL
National Provider Identifier
1770652380
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S754TA234 Issued in AL
Practice address
754 Main Street
Gardendale, AL 35071-2696
Phone
(205) 631-7700
Fax
(205) 631-0990
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X S754TA234 AL
Pediatric Optometrist 152WP0200X S754TA234 AL
Sports Vision Optometrist 152WS0006X S754TA234 AL
Optometrist 152W00000X S754TA234 AL Primary

Addresses

Primary practice location

754 Main Street
Gardendale, AL 35071-2696

Mailing address

PO Box 1919
Gardendale, AL 35071-1919

Other identifiers 1

IdentifierTypeStateIssuer
529804360MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20070514000594 AL Practitioner - Optometry 9436256138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basden EyecareGroup PAC ID 4981627502, 12 clinicians

Practice addresses (Care Compare)

754 Main St
Gardendale, AL 35071-2696
Phone (205) 631-7700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Basden Eyecare Optometrist CurrentSince May 28, 2025 Accepting new patients
Light and Vision, Inc Optometrist CurrentSince Oct 30, 2005 Accepting new patients
S. Douglas Owens, M.D., P.C. Past Accepting new patients

Locations

780 N Dean Rd
Auburn, AL 36830
Phone (334) 260-8511

754 Main St
Gardendale, AL 35071
Phone (205) 631-7700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1770652380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1919",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350711919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MAIN STREET",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712696",
            "telephone_number": "205-631-7700",
            "fax_number": "205-631-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSCHMIDT",
        "first_name": "DORRINE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AL",
            "license": "S754TA234",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "AL",
            "license": "S754TA234",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "AL",
            "license": "S754TA234",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S754TA234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529804360",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.