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STEVEN I GOODMAN OD PC NPI 1992707491


NPI Information

NPI: 1992707491
Provider Name: STEVEN I GOODMAN OD PC

Doing Business As: FAMILY EYECARE OF MEDFORD

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1643 ROUTE 112 STE A
MEDFORD, NY
ZIP 11763
Phone: (631) 758-5575
Get Directions

STEVEN I GOODMAN OD PC is an optometrist in Medford, NY. The provider is 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. STEVEN I GOODMAN OD PC NPI is 1992707491. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Family Eyecare Of Medford.

The provider's business location address is:

1643 ROUTE 112 STE A
MEDFORD, NY
ZIP 11763-654
Phone: (631) 758-5575
Fax: (631) 758-5579

The provider's authorized official is Steven I Goodman .
The authorized official title is Dr. and has the following contact phone number (631) 758-5575.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 3/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact ManagementVUT005113NEW YORKNo
2152WL0500XOptometristLow Vision RehabilitationVUT005113NEW YORKNo
3152WP0200XOptometristPediatricsVUT005113NEW YORKNo
4152WS0006XOptometristSports VisionVUT005113NEW YORKNo
5152WV0400XOptometristVision TherapyVUT005113NEW YORKNo
6152WX0102XOptometristOccupational VisionVUT005113NEW YORKNo
7152W00000XOptometristVUT005113NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10228640001MEDICARE NSCNEW YORK
203155837MEDICAIDNEW YORK
3DO7607MEDICARE PINNEW YORK
4A100000601MEDICARE PINNEW YORK
5U10237MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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