GOULDING EYECARE LLC (NPI# 1508383381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508383381 |
| Entity Type | Organization |
| Organization Name | GOULDING EYECARE LLC |
| Practice Address |
20120 Pinebrook Blvd Bend OR 97702-2537 |
| Mailing Address |
Po Box 1170 Maple Grove MN 55311-6170 |
| Practice Telephone | 5413892508 |
| Practice Fax Number | 7637462096 |
| Mailing Telephone | 5413892508 |
| Mailing Fax Number | 7637462096 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Authorized Official Name | MR. JOSHUA THOMAS GOULDING (OWNER) |
| Authorized Official Telephone | 6162177604 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3428AT | OR | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GOULDING EYECARE LLC | 2020 Ne Linnea Dr Apt 316, Bend, OR 97701 |
| Street Address |
20120 PINEBROOK BLVD |
| City | BEND |
| State | OR |
| Zip Code | 97702-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457398315 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2006-06-01 |
| 1639532880 | Robert Mote | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2016-04-04 |
| 1265893937 | Susie Ann Jones | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702 | 2016-03-09 |
| 1386003622 | Susie Nosler | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2016-02-15 |
| 1912306481 | Donald Byrne | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2014-08-20 |
| 1073920955 | Tedd Marceau | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2014-07-12 |
| 1053749937 | Eyes In Motion | Optometrist | 20120 Pinebrook Blvd, Bend, OR 97702 | 2013-10-31 |
| 1639411937 | Wal-mart Stores, Inc. | Durable Medical Equipment & Medical Supplies | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2013-03-25 |
| 1518268234 | Keith Daugherty | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2010-11-11 |
| 1235210691 | Wal-mart Stores, Inc. | Technician/Technologist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1912389511 | Central Oregon Eyecare, PC | Optometrist | 2155 Nw Shevlin Park Rd, Bend, OR 97701 | 2015-06-19 |
| 1447421292 | William R Woodman O.d. PC | Optometrist | 1900 Ne 3rd Street, Ste 102, Bend, OR 97701-3854 | 2008-03-20 |
| 1831397306 | Derri Sandberg | Optometrist | 901 Nw Carlon Ave Ste 2, Bend, OR 97703-2636 | 2007-07-06 |
| 1063623221 | Joseph J Kvortek | Optometrist | 3044 N Highway 97, Bend, OR 97701-7512 | 2007-05-26 |
| 1598970881 | Nancy Mckrell Bonetto | Optometrist | 19547 Sunshine Way, Bend, OR 97702-1980 | 2007-05-11 |
| 1972655264 | Tom Ski Thomason | Optometrist | 505 Sw Millview Way, # 100, Bend, OR 97702-1291 | 2007-01-17 |
| 1619024916 | William R Woodman | Optometrist | 1900 Ne 3rd St Ste 102, Bend, OR 97701-3854 | 2007-01-05 |
| 1811064967 | Coffman Vision Clinic Inc | Optometrist | 61535 S Highway 97, Ste. 16, Bend, OR 97702-2154 | 2006-11-30 |
| 1285700526 | Lorraine Mary Winger | Optometrist | 822 Nw Wall St, Bend, OR 97701-2715 | 2006-11-28 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.