Active NPI
Judith E Golden, OD
- Optometrist
- Herkimer, NY
National Provider Identifier
1891865895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T003870-1
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010942 | Other | RMSCO | |
| 161606726G01 | Other | BCBS | |
| 10069582 | Other | CDPHP | |
| 595016 | Other | MVP |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| T003870-1 | NY | MD | Optometrist |
| 003870 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Luck & Golden Optometrists PC | Optometrist | Current | 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.
-
- Optometrist
- Herkimer, NY
- NPI 1942389945
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.