Individual
LEONARD S. GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.,P.C.
Contact information
Practice address
5910 JUNCTION BLVD, ELMHURST, NY 11373-5156
(718) 271-6883
(718) 699-5905
Mailing address
5910 JUNCTION BLVD, ELMHURST, NY 11373-5156
(718) 271-6883
(718) 699-5905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003454
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV003454
NY
152WP0200X
Pediatric Optometrist
TUV003454
NY
152WS0006X
Sports Vision Optometrist
TUV003454
NY
152WX0102X
Occupational Vision Optometrist
TUV003454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00684735
—
NY
01
—
1C9059
HEALTHNET
NY
01
—
23162
GHI
NY
01
—
316240101
HEALTHPLUS
NY
01
—
49829
DAVIS VISION
NY
01
—
718-96
UNITED HEALTHCARE
NY
01
—
905855/004545
BLOCK VISION
NY
01
—
90623
AETNA
NY
01
—
C3241
BLUE CROSS BLUE SHIELD
NY
01
—
G5910 999995631
VISION SERVICE PLAN
NY
01
—
P-11165056
MULTIPLAN
NY
01
—
P2085463
OXFORD HEALTHCARE
NY
01
—
QN0039301
AMERICHOICE
NY
Enumeration date
01/20/2006
Last updated
08/15/2008
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