Goldstein, Lee Arthur
Goldstein, Lee Arthur is an sole proprietor health care provider with primary practice located at 45493 S Fork Dr , Three Rivers CA 93271-9318. He recently has 4 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 / Optometrist is his primary health care specialty. Goldstein, Lee Arthur can be contacted via phone (559) 561-3204.Contact Information
Primary practice address
45493 S Fork Dr
Three Rivers CA 93271-9318
Phone: (559) 561-3204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4783T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4783T | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 4783T | California |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 4783T | California |
Profile Details
| NPI number | 1952300238 |
|---|---|
| LBN Legal business name | Goldstein, Lee Arthur |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Dec 15th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952300238 | NPPES |
| California | Other | 4783T | STATE BOARD - OPT LICENSE |
| California | MEDICAID | 7645215 | STATE BOARD - OPT LICENSE |
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