Provider Demographics
NPI:1336288877
Name:GOLDSTEIN AND OLEINICK EYECARE, P.C.
Entity Type:Organization
Organization Name:GOLDSTEIN AND OLEINICK EYECARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:734-261-0930
Mailing Address - Street 1:35000 WARREN RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-6223
Mailing Address - Country:US
Mailing Address - Phone:734-261-0930
Mailing Address - Fax:734-261-0985
Practice Address - Street 1:35000 WARREN RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-6223
Practice Address - Country:US
Practice Address - Phone:734-261-0930
Practice Address - Fax:734-261-0985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003063152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty