Individual provider Active NPI

Kevin Mitchell Goldstein, O.D.

  • Optometrist
  • Westland, MI
National Provider Identifier
1023133642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003063 Issued in MI
Practice address
35000 Warren Rd
Westland, MI 48185-6223
Phone
(734) 261-0930
Fax
(734) 261-0985
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003063 MI Primary

Addresses

Primary practice location

35000 Warren Rd
Westland, MI 48185-6223

Mailing address

35000 Warren Rd
Westland, MI 48185-6223
Phone (734) 261-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20100818000107 MI Practitioner - Optometry 9931233582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goldstein and Oleinick Eyecare, P.C.Group PAC ID 2769516319, 2 clinicians

Practice addresses (Care Compare)

35000 Warren Rd
Westland, MI 48185-6223
Phone (734) 261-0930

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goldstein and Oleinick Eyecare, P.C. Optometrist CurrentSince Feb 24, 2010 Accepting new patients

Locations

35000 Warren Rd
Westland, MI 48185
Phone (734) 261-0930

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023133642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35000 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856223",
            "telephone_number": "734-261-0930",
            "fax_number": "734-261-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856223",
            "telephone_number": "734-261-0930",
            "fax_number": "734-261-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "KEVIN",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.