JAMES R GOLDSTEIN (OD) – Optometrist, NPI 1700874922

JAMES R GOLDSTEIN (OD) is a healthcare provider. based in Mattoon, Illinois. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 046007322 (IL). The NPI Number for JAMES R GOLDSTEIN (OD) is 1700874922

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
JAMES R GOLDSTEIN (OD)
NPI
1700874922
Phone
(217) 258-8466
Address
1120 LAKE LAND BLVD
Enumeration Date
11 October 2005
Last Update Date
20 October 2014

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
9133138969
Professional Enrollment ID
I20060407000026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JAMES R GOLDSTEIN (OD)

  • Lake Land Boulevard, Mattoon, Coles County, Illinois, United States

    MATTOON, IL 619385562

    Phone: (217) 258-8466

    Fax: (217) 258-8443

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060407000026IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system212211$0
92250Photography of the retina7575$0
92004New patient complete exam of visual system1818$0
99212Established patient office or other outpatient visit, 10-19 minutes1613$0
99213Established patient office or other outpatient visit, 20-29 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 61938)

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Reviews

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Frequently asked questions

What is JAMES R GOLDSTEIN (OD)'s NPI number?
JAMES R GOLDSTEIN (OD)'s NPI is 1700874922 — the number used across U.S. healthcare to identify this provider.
Is JAMES R GOLDSTEIN (OD) still an active registrant?
JAMES R GOLDSTEIN (OD) carries an active NPI according to the public dataset.
How would a patient describe JAMES R GOLDSTEIN (OD)'s focus?
For JAMES R GOLDSTEIN (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is JAMES R GOLDSTEIN (OD) associated with Mattoon?
Public fields place JAMES R GOLDSTEIN (OD) around Mattoon, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for JAMES R GOLDSTEIN (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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