Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracie Goodenberger

Individual provider Optometrist · NPI 1124865563

Tracie Goodenberger is an Optometry in Lincoln, Nebraska. Graduated from Southern College of Optometry in 2024, 2 years ago. Practices with Daniel Novak OD PC, a 2-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
2
Trained at
Southern College of Optometry
Licensed in
NE
In the registry since
2024
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Practice location Address checks out

3543 S 85th St Ste 200
Lincoln, NE 68520-1501
Phone: (402) 986-7856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1648 (NE)

Record details

NPI number1124865563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address1946 S 80th St, Lincoln, NE 68506-6508

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Daniel Novak Od Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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