Active NPI
Terry L Goodman, OD
- Optometrist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1071DT
- Practice address
- 9501 Taylorsville Rd Ste 106
Louisville, KY 40299-2752 - Phone
- (502) 499-2020
- Fax
- (502) 499-6747
- NPI assigned
- Jan 30, 2007
- Last updated
- Aug 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 1071DT | KY | Primary |
Addresses
Primary practice location
9501 Taylorsville Rd Ste 106
Louisville, KY 40299-2752
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health Services LLC | Optometrist | Current | Accepting new patients |
| Ward Family Eye Care PLLC | Optometrist | Current | Accepting new patients |
| John Kenyon American Eye Institute LLC | Past | Accepting new patients |
Locations
2555 Highway 227
Carrollton, KY 41008
Phone (502) 662-0107
100 Walmart Dr
Elizabethtown, KY 42701
Phone (270) 737-0055
2932 Breckenridge Ln
Ste 5
Louisville, KY 40220
Phone (502) 371-9703
Organizations & group practices 5
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.
-
- Optometrist
- Elizabethtown, KY
- NPI 1821553009
-
dba Eye Surgery Center of Elizabethtown
- Ambulatory Surgical Clinic/Center
- Elizabethtown, KY
- NPI 1013513308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1831235498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 TAYLORSVILLE RD STE 106",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402992752",
"telephone_number": "502-499-2020",
"fax_number": "502-499-6747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "TERRY",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1071DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.