Family Eyecare Of Medford
LBN: Steven I Goodman Od Pc
Family Eyecare Of Medford is an health care organization with primary practice located at 1643 Route 112 Ste A , Medford NY 11763-3654. The organization recently has 7 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 / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Steven I Goodman Od Pc can be contacted via phone (631) 758-5575, or through Goodman, Steven I via phone (631) 758-5575.
Contact Information
Primary practice address
1643 Route 112 Ste A
Medford NY 11763-3654
Phone: (631) 758-5575
Fax: (631) 758-5579
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | VUT005113 | New York |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | VUT005113 | New York |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | VUT005113 | New York |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | VUT005113 | New York |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | VUT005113 | New York |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | VUT005113 | New York |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | VUT005113 | New York |
Profile Details
NPI number | 1992707491 |
---|---|
LBN Legal business name | Steven I Goodman Od Pc |
DBA Doing business as | Family Eyecare Of Medford |
Authorized official | Goodman, Steven I Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 15th, 2005 |
Last updated | Mar 2nd, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992707491 | NPPES |
New York | MEDICAID | 03155837 |
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