Individual provider Active NPI

Shira Simone Goldberg, OD

  • Optometrist
  • Garwood, NJ
National Provider Identifier
1710045497
Registry record updated Dec 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00594200 Issued in NJ
Practice address
300 South Ave
Garwood, NJ 07027-1312
Phone
(908) 789-0101
Fax
(908) 789-1938
NPI assigned
Dec 5, 2006
Last updated
Dec 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00594200 NJ Primary

Addresses

Primary practice location

300 South Ave
Garwood, NJ 07027-1312

Mailing address

11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6509

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20041109000604 NJ Practitioner - Optometry 9335102557 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Eye Professionals, LLCGroup PAC ID 9739364001, 7 clinicians

Practice addresses (Care Compare)

906 Oak Tree Ave
Suite I
South Plainfield, NJ 07080-5127
Phone (908) 222-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty MD Inc CurrentSince Oct 1, 2024 Accepting new patients
Eyedocs USA LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Eye Centers of America, LLC CurrentSince Oct 27, 2025 Accepting new patients
NJ Eye Professionals, LLC CurrentSince Oct 1, 2024 Accepting new patients
James E. Haberman, M.D., P.a. CurrentSince Sep 30, 2021 Accepting new patients
Cranford Ophthalmology, P.a. CurrentSince Jul 11, 2019 Accepting new patients
Cranford Ophthalmology, PA PastSince Jul 11, 2019 Accepting new patients
Robert Scharfman PastSince Aug 1, 2020 Accepting new patients

Locations

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

2 South Ave E
#1
Cranford, NJ 07016
Phone (908) 276-3030

18 N 3rd Ave
Highland Park, NJ 08904
Phone (732) 545-0094

40 Union Ave
Ste 102
Irvington, NJ 07111
Phone (973) 374-3345

718 Union Ave
Middlesex, NJ 08846
Phone 8773933621 ext. 8011

150 Maple Ave
South Plainfield, NJ 07080
Phone (732) 742-4638

906 Oak Tree Ave
Ste I
South Plainfield, NJ 07080
Phone (908) 222-3506

2333 Morris Ave
Ste C103
Union, NJ 07083
Phone (908) 688-4000

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261699200000",
    "number": "1710045497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "SUITE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6509",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH AVE",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271312",
            "telephone_number": "908-789-0101",
            "fax_number": "908-789-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "SHIRA",
        "middle_name": "SIMONE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00594200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garwood, NJ

Sources for this page

Verify at the official NPI Registry.