Craig C Goldman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1425 Issued in AZ

Practice address

1445 W Southern Ave Ste 1080
Mesa, AZ 85202-4867

Phone

(520) 256-8141

NPI assigned

Jun 13, 2006

Last updated

Feb 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Classic Eyes Incorporated

  • Optometrist
  • Glendale, AZ
  • NPI 1386239820
  NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328313600000",
    "number": "1295778777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W SOUTHERN AVE STE 1080",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024867",
            "telephone_number": "520-256-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W SOUTHERN AVE STE 1080",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024867",
            "telephone_number": "520-256-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "CRAIG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1425",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009371",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253541",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goldfield Medical Clinics, LLC (Goldfield Cardiovascular Institue)
• Goldfield Mountain Healthcare LLC (Alta Mesa Health and Rehabilitation)
• Goldfield Mountain Healthcare LLC (Alta Mesa Health and Rehabilitation)
• Goldfield Mountain Healthcare LLC
• James M Goldhardt, PA-C
• Graham Matthew Goldman
• Matthew Goldman
• Rebecca Goldstein
• Bahar Golestan
• Hannah Golladay

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.