Individual provider Active NPI

Judith E Golden, OD

  • Optometrist
  • Herkimer, NY
National Provider Identifier
1891865895
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T003870-1 Issued in NY
Practice address
3079 State Route 28
Herkimer, NY 13350
Phone
(315) 866-4020
Fax
(315) 866-4026
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T003870-1 NY Primary

Addresses

Primary practice location

3079 State Route 28
Herkimer, NY 13350

Mailing address

PO Box 629
Herkimer, NY 13350
Phone (315) 866-4020

Other identifiers 4

IdentifierTypeStateIssuer
0010942OtherRMSCO
161606726G01OtherBCBS
10069582OtherCDPHP
595016OtherMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090623000053 NY Practitioner - Optometry 7214916014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Luck and Golden Optometrists PCGroup PAC ID 0244381804, 2 clinicians

Practice addresses (Care Compare)

3079 State Route 28
Herkimer, NY 13350-1041
Phone (315) 866-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T003870-1NYMDOptometrist
003870NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Luck & Golden Optometrists PC Optometrist CurrentSince Mar 29, 2004 Accepting new patients

Locations

3079 State Route 28
Herkimer, NY 13350
Phone (315) 866-4020

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891865895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "13350",
            "telephone_number": "315-866-4020",
            "fax_number": "315-866-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 STATE ROUTE 28",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "13350",
            "telephone_number": "315-866-4020",
            "fax_number": "315-866-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "JUDITH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T003870-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMSCO",
            "identifier": "0010942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "161606726G01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10069582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "595016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

Verify at the official NPI Registry.