DR. ERIC GOULSTON O.D.
NPI 1023114279
Optometrist in La Plata, MD

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
30 SHINING WILLOW WAY STE 30-B, LA PLATA, MD 20646(240) 523-4454 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2021, Feb 5, 2019 (2 updates tracked since 2019).

About Dr. Eric Goulston O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC GOULSTON O.D. (NPI 1023114279) is an individual optometrist in La Plata, Maryland, licensed in Maryland (TA1797) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1023114279
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ERIC GOULSTONCredential: O.D.
Location Address30 SHINING WILLOW WAY STE 30-BLa Plata, MD 20646
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (866) 795-4020
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 15, 2006
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1023114279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MD · TA1797 Licensed in DC · OP1000280
Definition

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.

30 SHINING WILLOW WAY STE 30-B, La Plata, MD 20646

Secondary Practice Location 1

Location 11330 Connecticut Ave NWWashington, DC 20036-1704 · Phone (202) 785-5700 · Fax (202) 223-6315

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Eric Goulston O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012171994
PECOS Enrollment IDI20120625000656, I20160113000201
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
30 SHINING WILLOW WAY STE 30-B
LA PLATA, MD 20646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Goulston's NPI number?

The NPI number for Eric Goulston is 1023114279. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Eric Goulston located?

Eric Goulston practices at 30 Shining Willow Way Ste 30-B, La Plata, MD 20646. The listed phone number is (240) 523-4454.

What is Eric Goulston's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eric Goulston enrolled in Medicare?

Yes. Eric Goulston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eric Goulston accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Eric Goulston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Goulston was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.