Individual provider Active NPI

Donna Calderon Goebel, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1952495509
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 9933 Issued in CA
Practice address
5151 N Palm Ave Ste 150
Fresno, CA 93704
Phone
(559) 229-7202
Fax
(559) 229-2998
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 9933 CA Primary

Addresses

Primary practice location

5151 N Palm Ave Ste 150
Fresno, CA 93704

Mailing address

505 E. Acacia
Fresno, CA 93704
Phone (559) 229-4317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170921002130 CA Practitioner - Optometry 0648544114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fig Garden Optometry IncGroup PAC ID 7416003223, 4 clinicians

Practice addresses (Care Compare)

5151 N Palm Ave
Suite 150
Fresno, CA 93704-2221
Phone (559) 229-7202

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
61.78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 9933CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fig Garden Optometry, Inc. Optometrist CurrentSince Oct 1, 2017 Accepting new patients

Locations

5151 N Palm Ave
Ste 150
Fresno, CA 93704
Phone (559) 229-7202

Interoperability endpoints

  • Direct secure messaging: dgoebel@direct.revolutionehr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1952495509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E. ACACIA",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93704",
            "telephone_number": "559-229-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N PALM AVE STE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93704",
            "telephone_number": "559-229-7202",
            "fax_number": "559-229-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "DONNA",
        "middle_name": "CALDERON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.