Vivek Goyal, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009133 Issued in NY

Practice address

16501 Jamaica Ave
Jamaica, NY 11432-4904

Phone

(718) 523-0730

NPI assigned

Aug 7, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eyes of Jamaica Inc.

  • Optometrist
  • Jamaica, NY
  • NPI 1841530615
  Medicare reassignment NPD
• Liberty Optical Corp

  • Optometrist
  • South Richmond Hill, NY
  • NPI 1235538596
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1003461880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SEARINGTOWN RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071157",
            "telephone_number": "516-998-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16501 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324904",
            "telephone_number": "718-523-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Willard Ave",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061112631",
            "country_code": "US",
            "telephone_number": "860-666-6951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "VIVEK",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3110",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanique Ameerah Goulbourne, LMSW
• Adina Gould, MSPT
• Beverly Constance Gould, LCSW, PSY.D
• John P Goutos, MD
• Tashekia Gowan, LPN
• Elliott Juan Goytia, MD
• Graciceci Inc
• Renee Ricafrente Grageda, MD
• Valrie Graham Gibbon
• Andrea Maxine Graham

• Optometrist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.