| Steven I Goodman Od Pc | |
|
1643 Route 112 Ste A, Medford, NY 11763-3654 | |
| (631) 758-5575 | |
| (631) 758-5579 |
| Full Name | Steven I Goodman Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1643 Route 112 Ste A, Medford, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992707491 | NPI | - | NPPES |
| 03155837 | Medicaid | NY |
| Provider Name | Steven I Goodman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316146673 PECOS PAC ID: 1658444385 Enrollment ID: I20081224000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven I Goodman Od Pc 1643 Route 112 Ste A, Medford, NY 11763-3654 Ph: (631) 758-5575 | Steven I Goodman Od Pc 1643 Route 112 Ste A, Medford, NY 11763-3654 Ph: (631) 758-5575 |
Dr. Giuseppina M Russo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2799 Rt 112, Davis Vision At King Kuhlen Shopping Center, Medford, NY 11763 Phone: 631-289-3937 Fax: 631-207-0913 | |
Dr. Jodi Y Corley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2799 Route 112, Davis Vision King Kullen Shopping Center, Medford, NY 11763 Phone: 631-289-3937 Fax: 631-209-0913 | |
Dr. Steven I Goodman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1643 Route 112 Ste A, Medford, NY 11763 Phone: 631-758-5575 Fax: 631-758-5579 | |
Dr. Myron P Berlaft, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2799 Rte 112, Davis Vision King Kallen Shopping Center, Medford, NY 11763 Phone: 631-289-3939 Fax: 631-209-0913 | |
Empire Vision Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 2799 Route 112 Ste 2a, King Kullen Shopping Center, Medford, NY 11763 Phone: 631-289-3937 Fax: 631-207-0913 |