Tracy Gose, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002510 Issued in AZ

Practice address

2222 E Camelback Rd Ste 250M
Phoenix, AZ 85016-3427

Phone

(602) 840-3501

Fax

(602) 840-3671

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tracy Lukasiewicz Former name

Medicare fee-for-service enrollment

Enrolled in AZ, WA2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt. Baker Vision ClincGroup PAC ID 2860380094, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.48 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.27

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracylukasiewicz@direct.eyecare-partners.com
• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

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.

• Mt. Baker Vision Clinc

  • Optometrist
  • Bellingham, WA
  • NPI 1316166416
  Medicare reassignment Care Compare group NPD
• Emilio Martin Justo MD PC

  • Ophthalmology Physician
  • Sun City, AZ
  • NPI 1801902762
  Medicare reassignment NPD
• Nationwide Optometry P.C.

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  Medicare reassignment NPD
• Nationwide Optometry P.C.

  • Optometrist
  • Sun City West, AZ
  • NPI 1427374347
  NPD
• Nationwide Optometry P.C.

  • Optometrist
  • Mesa, AZ
  • NPI 1831686203
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1962014225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262651",
            "telephone_number": "480-961-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E CAMELBACK RD STE 250M",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163427",
            "telephone_number": "602-840-3501",
            "fax_number": "602-840-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 E Guadalupe Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852345116",
            "country_code": "US",
            "telephone_number": "480-558-0600",
            "fax_number": "480-558-7162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19052 NRH Johnson Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "85375",
            "country_code": "US",
            "telephone_number": "623-232-0560",
            "fax_number": "623-975-7005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 S Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427529",
            "country_code": "US",
            "telephone_number": "717-272-6621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10701 W Bell Rd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853511074",
            "country_code": "US",
            "telephone_number": "623-888-8191",
            "fax_number": "623-977-6911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Savage St",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853904235",
            "country_code": "US",
            "telephone_number": "928-415-2188",
            "fax_number": "928-684-0387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8404 E Shea Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606658",
            "country_code": "US",
            "telephone_number": "480-483-0711",
            "fax_number": "480-483-8535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 W Southern Ave Ste 122",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852104903",
            "country_code": "US",
            "telephone_number": "480-835-4440",
            "fax_number": "480-835-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSE",
        "first_name": "TRACY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003716",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "LUKASIEWICZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherry Lee Gorslin, RNC WHNP
• Justin Gort, RN
• Erin Gorter, PH.D.
• Forrest D Gorter, PAC
• Sheetal Desai Gosalia, D.O.
• Angelica Goseyun
• Goshen Methadone Clinic
• Savinah Goshow, BCBA
• Heather Gosnell, MD
• Jaxson D Gosnell

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.