Active NPI
Terry Michael Goen, O.D.
- Optometrist
- Pensacola, FL
National Provider Identifier
1831138742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002122B
- Practice address
- 312 Kenmore Rd
Pensacola, FL 32503-7462 - Phone
- (850) 471-7674
- Fax
- (850) 471-7675
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002122A | IN | |
| Optometrist | 152W00000X | 18002122B | IN | Primary |
Addresses
Primary practice location
312 Kenmore Rd
Pensacola, FL 32503-7462
Mailing address
1494 Pine Lane Dr
Cantonment, FL 32533-9626
Phone (850) 968-3176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002122A | IN | MD | Optometrist |
| 18002122B | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831138742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1494 PINE LANE DR",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325339626",
"telephone_number": "850-968-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 KENMORE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325037462",
"telephone_number": "850-471-7674",
"fax_number": "850-471-7675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEN",
"first_name": "TERRY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002122A",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002122B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.