Roman Goldvekht, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003927 Issued in MI

Practice address

5050 Schaefer Rd
Dearborn, MI 48126-3249

Phone

(313) 582-7440

Fax

(313) 582-8090

NPI assigned

Jan 10, 2007

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

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.34 of 100Reported as group

Quality

99.56

Improvement activities

40

Cost

80.87

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rog@michiganeyecareinstitute.ecldirect.net

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.

• Group Vision Center, Inc.

  dba Midwestern Vision Center

  • Optometrist
  • Dearborn, MI
  • NPI 1992133169
  Medicare reassignment NPD
• SVS Vision Inc

  • Optometrist
  • Mount Clemens, MI
  • NPI 1194879023
  Medicare reassignment NPD
• Michigan Eyecare Institute, P.C.

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1962551531
  Medicare reassignment
• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890
  Medicare reassignment
• Group Vision Center, Inc.

  dba Midwestern Vision Center

  • Eyewear Supplier
  • Dearborn, MI
  • NPI 1124178694
  NPD
• SVS Vision Inc

  dba SVS Vision 94

  • Optometrist
  • Mt Pleasant, MI
  • NPI 1558246942
  NPD
• Pearle Vision Inc

  • Optometrist
  • New Hudson, MI
  • NPI 1891840682
  NPD (past)
• Pearle Vision Inc

  dba Pearle Vision #C6672

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1982744033
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1265582753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-582-7440",
            "fax_number": "313-582-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263249",
            "telephone_number": "313-582-7440",
            "fax_number": "313-582-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDVEKHT",
        "first_name": "ROMAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NUMBER",
            "identifier": "082400001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Physical Therapy Specialist Inc
• Michael Thomas Goldfarb, M.D.
• Aaron Scott Goldfein, M.D.
• Mitchell Goldman, M.D.
• Arathi Rajendran Goldsmith, DO
• Britanny Gomez-Samano
• Lesly Gomez
• Alexis Lee Gondor
• Maria Gonzalez Merino
• Ana Paola Gonzalez Valencia

• Optometrist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.