James R Goldstein, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007322 Issued in IL

Practice address

1120 Lake Land Blvd
Mattoon, IL 61938-5562

Phone

(217) 258-8466

Fax

(217) 258-8443

NPI assigned

Oct 11, 2005

Last updated

Oct 20, 2014By the provider in NPPES

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 IL

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Mattoon Vision Associates

  dba Mattoon Community Eyecare

  • Optometrist
  • Mattoon, IL
  • NPI 1851500524
  Medicare reassignment NPD
• Center for Sight of Central Illinois SC

  dba Central Illinois Vision Center

  • Ophthalmology Physician
  • Decatur, IL
  • NPI 1093854820

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1700874922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 LAKE LAND BLVD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619385562",
            "telephone_number": "217-258-8466",
            "fax_number": "217-258-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 LAKE LAND BLVD",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619385562",
            "telephone_number": "217-258-8466",
            "fax_number": "217-258-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007322",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Goben, B.A.
• Amber Goddard
• Musaberk Goksel, M.D.
• Mitzy A. Golden
• Ashley Rose Goldman, DMD
• Robert G Good, DO
• Mary Elizabeth Gorman, M.D.
• Michael Shane Gosnell, PT, DPT
• Allyson K. Gough, APRN, BC
• Gowin Enterprises Inc

• Optometrist in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.