Active NPI
Leonard S. Goldstein Odpc
- Optometrist
- Elmhurst, NY
National Provider Identifier
1376875807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003454
- Legal business name
- LEONARD S. GOLDSTEIN ODPC
- Practice address
- 5910 Junction Blvd
Elmhurst, NY 11373-5156 - Phone
- (718) 271-6883
- Fax
- (718) 699-5905
- NPI assigned
- Feb 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leonard Sheldon Goldstein, OD
- Title
- President
- Phone
- (718) 271-6883
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003454 | NY | Primary |
Addresses
Primary practice location
5910 Junction Blvd
Elmhurst, NY 11373-5156
Mailing address
5910 Junction Blvd
Elmhurst, NY 11373-5156
Phone (718) 271-6883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00684735 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5910 Junction Blvd
Flushing, NY 11373
Phone (718) 271-6883
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Elmhurst, NY
- NPI 1508846965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265673600000",
"number": "1376875807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 JUNCTION BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735156",
"telephone_number": "718-271-6883",
"fax_number": "718-699-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5910 JUNCTION BLVD",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735156",
"telephone_number": "718-271-6883",
"fax_number": "718-699-5905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD S. GOLDSTEIN ODPC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "LEONARD",
"authorized_official_middle_name": "SHELDON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-271-6883",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00684735",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.