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

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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