Max D Gottesman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002384 Issued in MI

Practice address

6523 Telegraph Rd
Bloomfield Hills, MI 48301-3066

Phone

(248) 593-9955

Fax

(248) 593-9966

NPI assigned

Jan 4, 2006

Last updated

May 16, 2016By the provider in NPPES

Sex

Male

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 5

Medicare fee-for-service enrollment

Enrolled in MI

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

Illinois College of Optometry at Chicago, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jartll CorpGroup PAC ID 3274639596, 8 clinicians

Practice addresses (Care Compare)

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.

• Jartll Corp

  • Optometrist
  • Southfield, MI
  • NPI 1952420267
  Medicare reassignment Care Compare group NPD
• Jartll Corp

  dba Roland Optics

  • Optometrist
  • Bloomfield Hills, MI
  • NPI 1417008624
  NPD
• Jartll Corp

  dba Weisman Optometrists

  • Optometrist
  • Rochester, MI
  • NPI 1932250156
  NPD
• Jartll Corp

  dba Auburn Hills Eye Care

  • Optometrist
  • Auburn Hills, MI
  • NPI 1548311756
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1972581551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 TELEGRAPH RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013066",
            "telephone_number": "248-593-9955",
            "fax_number": "248-593-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 TELEGRAPH RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013066",
            "telephone_number": "248-593-9955",
            "fax_number": "248-593-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESMAN",
        "first_name": "MAX",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2721213",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2721222",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "MG002384",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972581551",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0F37720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arvinda R Golwala, M.D.
• Good Thinker LLC
• Jeffrey Good
• Devyn Lily Goodman, MS, RDN
• Morgan Goodman
• Veena Govila
• Graceful Care Agency, Inc
• Corinne N Gratson, P.A.-C.
• Theresa Graves
• Gray Chiropractic & Wellness Center

• Optometrist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.