Individual provider Active NPI

Matt Goodman, O.D.

  • Optometrist
  • Hutto, TX
National Provider Identifier
1780919860
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9116 Issued in TX
Practice address
401 Exchange Blvd
Hutto, TX 78634-5717
Phone
(512) 846-1004
NPI assigned
Oct 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9116 TX Primary

Addresses

Primary practice location

401 Exchange Blvd
Hutto, TX 78634-5717

Mailing address

401 Exchange Blvd
Hutto, TX 78634-5717
Phone (512) 846-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170627002509 TX Practitioner - Optometry 0749421584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hutto Eye Care PLLCGroup PAC ID 5496801144, 4 clinicians

Practice addresses (Care Compare)

401 Exchange Blvd
BLDG 1
Hutto, TX 78634-5718
Phone (512) 846-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hutto Eye Care PLLC Optometrist CurrentSince Jun 23, 2017 Accepting new patients

Locations

401 Exchange Blvd
Hutto, TX 78634
Phone (512) 806-7740

401 Exchange Blvd
Bldg 1
Hutto, TX 78634
Phone (512) 846-1004

Interoperability endpoints

  • Direct secure messaging: drgoodman@hutto-family-eye-care.direct.kno2fy.com

Organizations & group practices 1

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780919860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 EXCHANGE BLVD",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345717",
            "telephone_number": "512-846-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 EXCHANGE BLVD",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345717",
            "telephone_number": "512-846-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutto, TX

Sources for this page

Verify at the official NPI Registry.