Individual provider Active NPI

Lynda L Goeman, OD

  • Optometrist
  • Charlotte, MI
National Provider Identifier
1033138672
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003332 Issued in MI
Practice address
1315 Lansing Rd
Charlotte, MI 48813-8421
Phone
(517) 543-7577
Fax
(269) 342-4284
NPI assigned
Jul 18, 2006
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003332 MI Primary

Addresses

Primary practice location

1315 Lansing Rd
Charlotte, MI 48813-8421

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • Ms. Lynda L Stahl Other name

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
I20071005000688 MI Practitioner - Optometry 3072608991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1990
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1315 Lansing Rd
Charlotte, MI 48813-8421
Phone (517) 543-7577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003332MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients

Locations

100 North Ave
Ste E
Battle Creek, MI 49017
Phone (269) 962-7595

65 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 342-0003

7055 Tower Rd
Ste E
Battle Creek, MI 49014
Phone (269) 968-8183

1315 Lansing Rd
Charlotte, MI 48813
Phone (517) 543-7577

755 E Chicago St
Coldwater, MI 49036
Phone (517) 278-9004

4555 Wilson Ave SW
Grandville, MI 49418
Phone (616) 249-8490

803 W State St
Hastings, MI 49058
Phone (269) 945-9724

12659 Riley St
Holland, MI 49424
Phone (616) 377-1440

1617 N West Ave
Jackson, MI 49202
Phone (517) 780-3828

3132 E Michigan Ave
Jackson, MI 49202
Phone (517) 783-9000

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

1727 S Park St
Kalamazoo, MI 49001
Phone (269) 342-3910

2067 S Drake Rd
Kalamazoo, MI 49006
Phone (269) 366-3664

3013 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 382-3453

5465 Gull Rd
Kalamazoo, MI 49048
Phone (269) 349-7631

2350 44th St SE
Kentwood, MI 49508
Phone (616) 281-1011

5204 W Saginaw Hwy
Lansing, MI 48917
Phone (517) 886-2888

2008 Washington Ave
Saint Joseph, MI 49085
Phone (269) 983-1303

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1033138672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 LANSING RD",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488138421",
            "telephone_number": "517-543-7577",
            "fax_number": "269-342-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEMAN",
        "first_name": "LYNDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "STAHL",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.