BRUCE J GOLDSTICK (NPI# 1215037247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215037247 |
| Entity Type | Individual |
| Full Name | BRUCE J GOLDSTICK |
| Credential | M.D. |
| Practice Address |
4709 Golf Rd Suite 107 Skokie IL 60076-1231 |
| Practice Telephone | 8476744363 |
| Practice Fax Number | 8476744387 |
| Mailing Telephone | 8476744363 |
| Mailing Fax Number | 8476744387 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036066963 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RETIRED RAILROAD | 180027499 | 01 | |
| IL | BLUE CROSS BLUE SHIELD | 31602258 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811059280 | Bruce M. Goldstick | Optometrist | 7701 W Interstate 40 Ste 102, Amarillo, TX 79121-0102 | 2006-12-14 |
| Street Address |
4709 GOLF RD SUITE 107 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619785 | Harry M Goldin | Specialist | 4709 Golf Rd, 1000, Skokie, IL 60076-1231 | 2005-09-20 |
| 1902339369 | Abt Dental Associates LLC | Dentist | 4709 Golf Rd, Ste 1005, Skokie, IL 60076-1231 | 2017-04-04 |
| 1932642238 | Patrick Rice | Physician Assistant | 4709 Golf Rd, Skokie, IL 60076-1231 | 2016-11-18 |
| 1861862344 | Maximilian Reinke | Physical Therapist | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2015-09-28 |
| 1811371990 | Orthopaedics & Rheumatology of The North Shore | Clinic/Center | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2015-07-17 |
| 1952793739 | Retina Care, LLC | Ophthalmology | 4709 Golf Rd, Suite 117, Skokie, IL 60076-1231 | 2015-03-03 |
| 1114325792 | Beth Funk, Psy.d, LLC | Psychologist | 4709 Golf Rd, Ste 1150, Skokie, IL 60076-1231 | 2014-12-12 |
| 1548667165 | Orthopaedics of The North Shore | Internal Medicine | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2014-11-25 |
| 1841600020 | Ashley Drew Kauffman | Dentist | 4709 Golf Rd, Suite 1005, Skokie, IL 60076-1231 | 2014-04-28 |
| 1245669076 | Carolyn A. Barsano, Psy. D. LLC | Psychologist | 4709 Golf Rd, Suite 1150, Skokie, IL 60076-1231 | 2013-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215101845 | Russell Marcus Leboyer | Ophthalmology | 9630 Kenton Avenue Eye Care Ltd., Eye Care Ltd., Skokie, IL 60076 | 2008-04-15 |
| 1568525004 | Stephen David Rheinstrom | Ophthalmology | 4709 Golf Rd Ste 107, Skokie, IL 60076-1231 | 2006-12-18 |
| 1043225535 | Eyes of Grace Sc | Ophthalmology | 9669 Kenton Ave Ste 409, Skokie, IL 60076-1267 | 2006-07-31 |
| 1700892601 | William G Myers | Ophthalmology | 9150 Crawford Ave Ste 201, Skokie, IL 60076-1770 | 2006-07-31 |
| 1710954474 | Frank Paul La Franco | Ophthalmology | 4709 W Golf Rd, Suite 117, Skokie, IL 60076-1231 | 2006-03-02 |
| 1194718924 | Naphtali Gutstein | Ophthalmology | 9150 Crawford Ave, Suite 201, Skokie, IL 60076-1700 | 2005-08-26 |
| 1952793739 | Retina Care, LLC | Ophthalmology | 4709 Golf Rd, Suite 117, Skokie, IL 60076-1231 | 2015-03-03 |
| 1730377011 | Fagman Eye Surgery Associates | Ophthalmology | 4711 Golf Rd, Suite 525, Skokie, IL 60076-1224 | 2007-10-11 |
| 1386765725 | Arthur Dorf | Ophthalmology | 9933 Lawler Ave, Suite 506, Skokie, IL 60077-3703 | 2007-04-03 |
| 1245382126 | University Ophthalmology Associates, Ltd | Ophthalmology | 9700 Kenton Ave, Suite K204, Skokie, IL 60076-1259 | 2007-01-18 |
| Find all providers in SKOKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.