Kleiner-Goudey, Sara Jane

Kleiner-Goudey, Sara Jane is an individual health care provider with primary practice located at 217 South St , Pittsfield MA 01201-6837. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kleiner-Goudey, Sara Jane can be contacted via phone (413) 499-3797.

Contact Information

Primary practice address
217 South St Pittsfield MA 01201-6837
Phone: (413) 499-3797
Fax: (413) 499-3834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4093 Massachusetts

Profile Details

NPI number 1689653800
LBN Legal business name Kleiner-Goudey, Sara Jane
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Feb 8th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689653800 NPPES
New York Other 10084929 CDPHP
New York MEDICAID 9770721 CDPHP
New York Other W16344 CDPHP
New York Other 461467 CDPHP
New York Other 0000000-26985 CDPHP
New York Other 713662 CDPHP
New York Other AA27306 CDPHP
New York Other 30690 CDPHP
New York Other 040903 CDPHP
New York Other 3727398 CDPHP

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