Provider Demographics
NPI:1003437641
Name:GOEL VISION COLUMBIA
Entity Type:Organization
Organization Name:GOEL VISION COLUMBIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-888-2020
Mailing Address - Street 1:11819 SHEPARDS XING
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1139
Mailing Address - Country:US
Mailing Address - Phone:410-888-2020
Mailing Address - Fax:667-223-1712
Practice Address - Street 1:8850 COLUMBIA 100 PKWY STE 101
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2375
Practice Address - Country:US
Practice Address - Phone:410-888-2020
Practice Address - Fax:667-223-1712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty