Active NPI
Jeffrey Stuart Goldstein, O.D.
- Optometrist
- Columbia, MD
National Provider Identifier
1821113382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- DA0723
- Practice address
- 10480 Little Patuxent Pkwy
G-100
Columbia, MD 21044-3568 - Phone
- (410) 740-7430
- Fax
- (410) 740-7433
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | DA0723 | MD | Primary |
Addresses
Primary practice location
10480 Little Patuxent Pkwy
G-100
Columbia, MD 21044-3568
Mailing address
9 Campitelli CT
Reisterstown, MD 21136-6039
Phone (410) 833-3688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA0723 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delgado & Associates LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Owings Mills, MD
- NPI 1588875637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821113382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CAMPITELLI CT",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211366039",
"telephone_number": "410-833-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10480 LITTLE PATUXENT PKWY",
"address_2": "G-100",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443568",
"telephone_number": "410-740-7430",
"fax_number": "410-740-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "JEFFREY",
"middle_name": "STUART",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "DA0723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.