Individual
DR. JEREMY P GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12621 WATERSPOUT CT, OWINGS MILLS, MD 21117-1028
(443) 621-0756
Mailing address
12621 WATERSPOUT CT, OWINGS MILLS, MD 21117-1028
(443) 621-0756
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1949
MD
152W00000X
Optometrist
V6589
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016072500
—
MD
01
—
P00602581
RAILROAD
DC
01
—
P00680168
RAILROAD
MD
Enumeration date
04/26/2006
Last updated
01/20/2025
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