Active NPIIndividual providerSole proprietor

Dr. Michael P Goldstein, OD

Optometrist in Manchester, Connecticut

NPI Number1013003615
Practice location
732 Main St, Manchester, CT 06040-5106
Fax
860-643-4901
Last updated
September 28, 2026

Michael Philip Goldstein is an Optometrist based in Manchester, CT. Michael Philip Goldstein practices in Manchester, CT and has the professional credentials of OD. The NPI Number for Michael Philip Goldstein is 1013003615 and holds a License No. 002545 (CT). The current practice location address for Michael Philip Goldstein is 732 Main St, Manchester, CT 06040-5106 and can be reached out via phone at 860-649-5177 and via fax at 860-643-4901.

Provider Profile Details

NPI Number
1013003615
Provider Name
Michael Philip Goldstein
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
732 Main St, Manchester, CT 06040-5106
Phone Number
860-649-5177
Fax Number
860-643-4901
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
September 28, 2026
Certification Date
September 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
732 Main St
Manchester, CT 06040-5106
Zip
06040-5106
Phone Number
860-649-5177
Fax Number
860-643-4901
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
732 Main St
Manchester, CT 06040-5106
City
Manchester
State
CT
Zip
06040-5106
Phone Number
860-649-5177
Fax Number
860-643-4901

License Information

License Number (1)
002545
License State (1)
CT
Taxonomy (1)
Optometrist, Occupational Vision · 152WX0102X
License Number (2)
002545
License State (2)
CT
License Number (3)
002545
License State (3)
CT
Taxonomy (3)
Optometrist, Pediatrics · 152WP0200X
License Number (4)
002545
License State (4)
CT
Taxonomy (4)
Optometrist · 152W00000X · Primary
License Number (5)
002545
License State (5)
CT
Taxonomy (5)
Optometrist, Sports Vision · 152WS0006X
License Number (6)
002545
License State (6)
CT
Taxonomy (6)
Optometrist, Vision Therapy · 152WV0400X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michael P Goldstein, OD?

The NPI number of Dr. Michael P Goldstein, OD is 1013003615. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael P Goldstein, OD?

Dr. Michael P Goldstein, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 002545.

Where does Dr. Michael P Goldstein, OD practice?

The practice location is 732 Main St, Manchester, CT 06040-5106. The office can be reached at 860-649-5177 (phone) or 860-643-4901 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013003615 directly on the NPPES registry website.

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