<Unavail>

LBN: Steven I Goodman Od Pc
<Unavail> is an health care organization with primary practice located at 1643 Route 112 Ste A , Medford NY 11763-3654. The organization recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Steven I Goodman Od Pc can be contacted via phone (631) 758-5575, or through Goodman, Steven I via phone (631) 758-5575.

Contact Information

Primary practice address
1643 Route 112 Ste A Medford NY 11763-3654
Phone: (631) 758-5575
Fax: (631) 758-5579
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Steven I Doctor of Optometry (OD)
Phone: (631) 758-5575

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT005113 New York
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X VUT005113 New York
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X VUT005113 New York
Eye and Vision Services Providers / Pediatrics 152WP0200X VUT005113 New York
Eye and Vision Services Providers / Sports Vision 152WS0006X VUT005113 New York
Eye and Vision Services Providers / Vision Therapy 152WV0400X VUT005113 New York
Eye and Vision Services Providers / Occupational Vision 152WX0102X VUT005113 New York

Profile Details

NPI number 1992707491
LBN Legal business name Steven I Goodman Od Pc
DBA Doing business as <Unavail>
Authorized official Goodman, Steven I Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 2nd, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992707491 NPPES
New York MEDICAID 03155837

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