Samantha Scala Goodenough, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008820-1 Issued in NY

Practice address

819 Washington St
New York, NY 10014-1405

Phone

(646) 517-5227

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trumansburg Optical PCGroup PAC ID 8527098243, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Trumansburg Optical PC

  • Eyewear Supplier
  • Trumansburg, NY
  • NPI 1184755837
  Medicare reassignment Care Compare group NPD
• Warby Parker Inc.

  • Eyewear Supplier
  • New York, NY
  • NPI 1982121000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1841771987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 30TH ST APT 1F",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062920",
            "telephone_number": "607-242-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WASHINGTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100141405",
            "telephone_number": "646-517-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODENOUGH",
        "first_name": "SAMANTHA",
        "middle_name": "SCALA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008820-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Gooden
• Donna Gooden
• Justine Louise Gooden, AGNP-C
• Aimee E Goodenough, CRC, LMHC
• Heather Michelle Goodenough, MS ED
• Joshua Corey Goodfarb, PA-C
• Justin Goodfarb, MD
• Julie Goodfriend, MD
• Marlene Gombins Goodfriend, LCSW
• Goodhart Physical Therapy PC

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.

Verify at the official NPI Registry.