Active NPI
Lynda L Goeman, OD
- Optometrist
- Charlotte, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003332
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003332 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.