Individual provider Active NPI

Joshua Thomas Goulding, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1912280462
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60239577 Issued in WA
Practice address
13550 Aurora Ave N
Seattle, WA 98133-7512
Phone
(206) 417-6920
NPI assigned
Sep 21, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60239577 WA Primary

Addresses

Primary practice location

13550 Aurora Ave N
Seattle, WA 98133-7512

Mailing address

2238 13TH Ave W Lowr Unit
Seattle, WA 98119-2437
Phone (616) 217-7604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20171017001397 OR Practitioner - Optometry 8022272467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Dr Barnes and Associates LLCGroup PAC ID 7315330545, 4 clinicians

Practice addresses (Care Compare)

3075 Hamrick Rd
Central Point, OR 97502-2844
Phone 54173424671

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60239577WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Barnes & Associates LLC Optometrist CurrentSince Jan 9, 2025 Accepting new patients
Visionworks, Inc. Optometrist PastSince Apr 19, 2015 Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Optometrist Past Accepting new patients

Locations

3075 Hamrick Rd
Central Point, OR 97502
Phone (541) 734-2467

Organizations & group practices 5

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1912280462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 13TH AVE W LOWR UNIT",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981192437",
            "telephone_number": "616-217-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337512",
            "telephone_number": "206-417-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDING",
        "first_name": "JOSHUA",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60239577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.