Individual provider Active NPI

Jamie Linn Gold, O.D.

  • Optometrist
  • Cedar Hill, TX
National Provider Identifier
1841504180
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7754TG Issued in TX
Practice address
634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone
(972) 637-1300
Fax
(866) 353-7586
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7754TG TX Primary

Addresses

Primary practice location

634 Uptown Blvd
Cedar Hill, TX 75104-3507

Mailing address

634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone (972) 637-1300

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
I20150409000939 TX Practitioner - Optometry 1850416124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates of Texas PAGroup PAC ID 6204998974, 5 clinicians

Practice addresses (Care Compare)

634 Uptown Blvd
Cedar Hill, TX 75104-3507
Phone (972) 637-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7754TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Texas, PA CurrentSince Jul 17, 2023 Accepting new patients
Eyecare Associates of Texas, PA PastSince Jul 17, 2023 Accepting new patients

Locations

634 Uptown Blvd
Cedar Hill, TX 75104
Phone (972) 296-2929

507 W Crossland Blvd
Grand Prairie, TX 75052
Phone (972) 296-2929

Interoperability endpoints

  • Direct secure messaging: jamie.gold.d1.p1@direct.texaseyes.nextgenshare.com

Organizations & group practices 2

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1841504180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-637-1300",
            "fax_number": "866-353-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043507",
            "telephone_number": "972-637-1300",
            "fax_number": "866-353-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JAMIE",
        "middle_name": "LINN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7754TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.