Organization Active NPI

Stephen Goo, OD, PS

  • Optometrist
  • Seattle, WA
National Provider Identifier
1942399860
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3262 Issued in WA
Legal business name
STEPHEN GOO, OD, PS
Doing business as
AK EyeCare
Practice address
8032 35TH Ave NE
Seattle, WA 98115-4815
Phone
(206) 523-6674
Fax
(206) 523-7900
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Dr. Stephen G Goo, ODNPI 1619171527
Title
President
Phone
(206) 523-6676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3262 WA Primary

Addresses

Primary practice location

8032 35TH Ave NE
Seattle, WA 98115-4815

Mailing address

8032 35TH Ave NE
Seattle, WA 98115-4815
Phone (206) 523-6676

Other names 1

  • AK EyeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060202000329 WA Part B Supplier - Clinic/Group Practice 4183638802 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

45 Front St N
Issaquah, WA 98027
Phone (425) 392-0202

700 NW Gilman Blvd
Ste E102
Issaquah, WA 98027
Phone (425) 391-1819

8032 35th Ave NE
Seattle, WA 98115
Phone (206) 523-6674

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1942399860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8032 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154815",
            "telephone_number": "206-523-6676",
            "fax_number": "206-523-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8032 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154815",
            "telephone_number": "206-523-6674",
            "fax_number": "206-523-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN GOO, OD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "GOO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-523-6676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AK EyeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AK EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.