Raymond M Goga, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1535 Issued in WI

Practice address

515 N 17TH Ave
Wausau, WI 54401-2910

Phone

(715) 848-1246

Fax

(715) 842-1660

NPI assigned

Feb 2, 2006

Last updated

Jan 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Raymond M Goga

  • Optometrist
  • Marathon, WI
  • NPI 1649334962
  NPD (past) Authorized official
• Martell Eyecare, LLC

  • Optometrist
  • Marathon, WI
  • NPI 1952962763
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1982676235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012910",
            "telephone_number": "715-848-1246",
            "fax_number": "715-842-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012910",
            "telephone_number": "715-848-1246",
            "fax_number": "715-842-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGA",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38707200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38704700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38502100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosita S Go, MD
• Lindsey Dawn Goddard, M.D.
• Adam Christopher Godsey
• Laura L Goergen, LPC, CSAC, CSW, ICS
• Erin Leigh Goga, O.D.
• Dawn Marie Goldade
• Harold Jonathan Goldstein, MD
• Rebekah Goldston, APSW
• Dominic Theodore Gomez Leonardelli, MD
• Samantha Shyanne Gordon, CNA

• Optometrist in Wausau, WI
• Providers in Wausau, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.