Evan Goldman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34302TLG Issued in CA

Practice address

24100 El Toro Rd Ste C
Laguna Woods, CA 92637-3129

Phone

(949) 586-8980

NPI assigned

Jul 31, 2019

Last updated

Sep 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael Goldman O.D.IncorporatedGroup PAC ID 2466633201, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Goldman O.D.Incorporated

  dba Laguna Eye Care Optometry

  • Optometrist
  • Laguna Woods, CA
  • NPI 1881719193
  Medicare reassignment Care Compare group NPD
• Advanced Eyecare Professional Optometric Group

  • Optometrist
  • Glendale, CA
  • NPI 1306035118
  NPD

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1154975738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CRESTVIEW DR",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885559",
            "telephone_number": "949-922-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 EL TORO RD STE C",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373129",
            "telephone_number": "949-586-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34302TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec Ryan Garcia, RT(MR)
• Larry Marc Gersten, M.D.
• Navid Geula, D.O.
• Faranak Chloe Ghazi, MD
• Bruce Glover
• Michael Mark Goldman, O.D.
• Ruth L. Goldman, O.D.
• David Jr Gonzalez
• Scott Michael Graham, M.D.
• Susan K Grenz, MD

• Optometrist in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.

Verify at the official NPI Registry.