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Contact Information

STEVEN I GOODMAN OD PC
1643 ROUTE 112 STE A
MEDFORD, NY11763-3654
 Phone: 631-758-5575
 Fax: 631-758-5579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for STEVEN I GOODMAN OD PC

NPI # 1992707491
LBN Legal business name STEVEN I GOODMAN OD PC
Authorized official STEVEN GOODMAN - (DR.)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2005
Last updated 03/02/2017 - About 9 years ago
Identifiers
NY License # VUT005113
NY Medicaid 03155837
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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