Organization Active NPI

Goldstein and Oleinick Eyecare, P.C.

  • Optometrist
  • Westland, MI
National Provider Identifier
1336288877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003063 Issued in MI
Legal business name
GOLDSTEIN AND OLEINICK EYECARE, P.C.
Practice address
35000 Warren Rd
Westland, MI 48185-6223
Phone
(734) 261-0930
Fax
(734) 261-0985
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Mitchell Goldstein, O.D.NPI 1023133642
Title
Optometrist-President
Phone
(734) 261-0930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901003063 MI Primary

Addresses

Primary practice location

35000 Warren Rd
Westland, MI 48185-6223

Mailing address

35000 Warren Rd
Westland, MI 48185-6223
Phone (734) 261-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100818000077 MI Part B Supplier - Clinic/Group Practice 2769516319 Receives reassigned benefits from 2 practitioners
Practice locations: Westland, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336288877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35000 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856223",
            "telephone_number": "734-261-0930",
            "fax_number": "734-261-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481856223",
            "telephone_number": "734-261-0930",
            "fax_number": "734-261-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTEIN AND OLEINICK EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OPTOMETRIST-PRESIDENT",
        "authorized_official_telephone_number": "734-261-0930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.