Amy Renee Goertz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1683 Issued in KS

Practice address

12111 W Maple St Ste 125
Wichita, KS 67235-8756

Phone

(316) 832-0088

Fax

(316) 832-0029

NPI assigned

Sep 21, 2005

Last updated

Aug 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

University of Missouri St Louis - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wichita Optometry, P.a.Group PAC ID 2567541451, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.45 of 100Reported as group

Quality

80.9

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wichita Optometry, P.a.

  • Optometrist
  • Wichita, KS
  • NPI 1083676936
  Medicare reassignment Care Compare group NPD
• Wichita Optometry P.a.

  • Optometrist
  • Wichita, KS
  • NPI 1821668799
  NPD
• Arensberg Optometry Inc

  • Optometrist
  • Wichita, KS
  • NPI 1508990847
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1881680270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 W 17TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126968",
            "telephone_number": "316-260-9736",
            "fax_number": "316-832-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 W MAPLE ST STE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358756",
            "telephone_number": "316-832-0088",
            "fax_number": "316-832-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERTZ",
        "first_name": "AMY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200277350A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Goebel
• Brian John Goentzel
• Beverly A Goering, LSCSW
• Tana L Goering, MD
• Tiana Alani Goering, PA-C
• Meghan Elizabeth Goertz, BSN,RN
• Rachel Goerzen, APRN
• Jacob Michael Goeser, OD
• Cynthia Goetzinger
• Grady Goff, DC

• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.