Individual provider Active NPI

Steven A Goldstein, OD

  • Optometrist
  • Portland, ME
National Provider Identifier
1992794309
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT741 Issued in ME
Practice address
152 Middle St
Portland, ME 04101-4123
Phone
(207) 773-2020
Fax
(207) 775-2447
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT741 ME Primary

Addresses

Primary practice location

152 Middle St
Portland, ME 04101-4123

Mailing address

PO Box 7487
Portland, ME 04112-7487
Phone (207) 885-8686

Other identifiers 1

IdentifierTypeStateIssuer
282260099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20041026000296 ME Practitioner - Optometry 2062473747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Casco Bay Eyecare LLCGroup PAC ID 3274620562, 8 clinicians

Practice addresses (Care Compare)

256 US Route 1
Falmouth, ME 04105-1399
Phone (207) 781-5580

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Casco Bay Eyecare LLC Optometrist CurrentSince Aug 16, 1987 Accepting new patients
Casco Bay Eye Care LLC Past Accepting new patients

Locations

256 US Route 1
Falmouth, ME 04105
Phone (207) 274-5933

455 Fore St
Portland, ME 04101
Phone (207) 773-2020

10 Q St
South Portland, ME 04106
Phone (207) 773-2020

Organizations & group practices 2

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1992794309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7487",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041127487",
            "telephone_number": "207-885-8686",
            "fax_number": "207-883-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014123",
            "telephone_number": "207-773-2020",
            "fax_number": "207-775-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282260099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.