Individual
DR. MICHAEL PHILIP GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
396 CROMWELL AVE, UNIT B, ROCKY HILL, CT 06067-1841
(860) 529-4261
(860) 721-7003
Mailing address
396 CROMWELL AVE, UNIT B, ROCKY HILL, CT 06067-1841
(860) 529-4261
(860) 721-7003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002545
CT
152WC0802X
Corneal and Contact Management Optometrist
002545
CT
152WP0200X
Pediatric Optometrist
002545
CT
152WS0006X
Sports Vision Optometrist
002545
CT
152WV0400X
Vision Therapy Optometrist
002545
CT
152WX0102X
Occupational Vision Optometrist
002545
CT
Other
Enumeration date
10/04/2006
Last updated
06/30/2011
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