Active NPI
William S. Goldstein, MD., PC
- Ophthalmology Physician
- Shelby Township, MI
National Provider Identifier
1649476581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301056066
- Legal business name
- WILLIAM S. GOLDSTEIN, MD., PC
- Practice address
- 47670 Van Dyke Ave
Shelby Township, MI 48317-3302 - Phone
- (586) 323-2020
- Fax
- (586) 323-4145
- NPI assigned
- Jun 26, 2007
- Last updated
- Jun 13, 2008
- 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. William S Goldstein, MD
- Title
- President
- Phone
- (586) 323-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301056066 | MI | Primary |
Addresses
Primary practice location
47670 Van Dyke Ave
Shelby Township, MI 48317-3302
Mailing address
47670 Van Dyke Ave
Shelby Township, MI 48317-3302
Phone (586) 323-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180509203 | Other | MI | BCBS PROVIDER NUMBER |
| 3453627 10 | Medicaid | MI | |
| DH1713 | Other | MI | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Shelby Township, MI
- NPI 1437159738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213315200000",
"number": "1649476581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47670 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483173302",
"telephone_number": "586-323-2020",
"fax_number": "586-323-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47670 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483173302",
"telephone_number": "586-323-2020",
"fax_number": "586-323-4145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM S. GOLDSTEIN, MD., PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2008-06-13",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-323-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301056066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "180509203",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3453627 10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DH1713",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.