Individual provider Active NPI

William B Goodrich, O.D.

  • Optometrist
  • Pittsfield, MA
National Provider Identifier
1871520973
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3317 Issued in MA
Practice address
740 Williams St
Pittsfield, MA 01201-7463
Phone
(413) 445-4564
Fax
(413) 448-2727
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3317 MA Primary
Optometrist 152W00000X TUY004734-1 NY

Addresses

Primary practice location

740 Williams St
Pittsfield, MA 01201-7463

Mailing address

740 Williams St
Pittsfield, MA 01201-7463
Phone (413) 445-4564

Other identifiers 1

IdentifierTypeStateIssuer
0369772MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091228000030 MA Practitioner - Optometry 4284774100 Reassigns benefits to 1 organization
I20121212000210 NY Practitioner - Optometry 4284774100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Eye Center PCGroup PAC ID 6901844802, 9 clinicians

Practice addresses (Care Compare)

2967 US Hwy 9 402
Valatie, NY 12184-4826
Phone (518) 758-9286

740 Williams St
Pittsfield, MA 01201-7463
Phone (413) 445-4564

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUY004734-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Eye Center PC Optometrist CurrentSince Oct 16, 1996 Accepting new patients

Locations

740 Williams St
Pittsfield, MA 01201
Phone (413) 445-4564

2967 US Highway 9
Ste 402
Valatie, NY 12184
Phone (518) 758-9286

2967 US Highway 9
Valatie, NY 12184

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1871520973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-445-4564",
            "fax_number": "413-448-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3317",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUY004734-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369772",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.