| James R Goldstein, OD | |
|
1120 Lake Land Blvd, Mattoon, IL 61938-5562 | |
| (217) 258-8466 | |
| (217) 258-8443 |
| Full Name | James R Goldstein |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1120 Lake Land Blvd, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700874922 | NPI | - | NPPES |
| 046007322 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046007322 (Illinois) | Primary |
| Provider Name | Jrgold Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851500524 PECOS PAC ID: 1052320884 Enrollment ID: O20060406000214 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Goldstein, OD 1120 Lake Land Blvd, Mattoon, IL 61938-5562 Ph: (217) 258-8466 | James R Goldstein, OD 1120 Lake Land Blvd, Mattoon, IL 61938-5562 Ph: (217) 258-8466 |
Dr. Neelum Haqqani, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1001 Charleston Ave E, All About Eyes, Mattoon, IL 61938 Phone: 217-235-2020 | |
Vep Il Optometric Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Charleston Ave E, Mattoon, IL 61938 Phone: 217-235-2020 | |
Dr. Luke Joseph Armstrong, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1120 Lake Land Blvd, Mattoon, IL 61938 Phone: 217-258-8466 | |
Michael Morris, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Dettro Dr, Mattoon, IL 61938 Phone: 217-235-6855 | |
Jfj Eyecare Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 220 Richmond Ave E, Mattoon, IL 61938 Phone: 636-200-4393 Fax: 217-234-3930 | |
Oneopto Il 2 Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Charleston Ave E, Mattoon, IL 61938 Phone: 217-235-2020 Fax: 217-235-2028 | |
Dr. Naomi D'entremont, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Charleston Ave E, Mattoon, IL 61938 Phone: 217-236-2020 Fax: 217-235-2022 |