National Provider Identifier Database

JRGOLD INC
Optometrist

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.


Contact Information

JRGOLD, INC
1120 LAKE LAND BLVD STE 1
MATTOON, IL61938-5562
Phone: 217-258-8466
Fax: 217-258-8443
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for JRGOLD, INC

NPI Number 1851500524
Legal business name
LBN
JRGOLD, INC
Authorized official JAMES GOLDSTEIM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/21/2007
Last updated 08/12/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 046007322
  • IL Medicaid: 046007322

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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