Active NPI
William B Goodrich, O.D.
- Optometrist
- Pittsfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3317
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0369772 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUY004734-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Eye Center PC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.