Active NPI
Julie Lueck Goldthorpe, O.D.
- Optometrist
- Portage, WI
National Provider Identifier
1811326465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2714
- Practice address
- 130 Henry Dr
Portage, WI 53901-1105 - Phone
- (608) 742-7050
- NPI assigned
- Nov 4, 2013
- Last updated
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2714 | WI | Primary |
Addresses
Primary practice location
130 Henry Dr
Portage, WI 53901-1105
Mailing address
130 Henry Dr
Portage, WI 53901-1105
Other names 1
- Kathryn Julie Lueck
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Henry Dr
Portage, WI 53901-1105
Phone (608) 742-7050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2714 | WI | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. S. Goldthorpe, Inc. | Optometrist | Current | Accepting new patients |
Locations
130 Henry Dr
Portage, WI 53901
Phone (608) 742-7050
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1811326465",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HENRY DR",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539011105",
"telephone_number": "608-742-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDTHORPE",
"first_name": "JULIE",
"middle_name": "LUECK",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "LUECK",
"middle_name": "JULIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.