Eric Goulston (NPI# 1023114279, PAC ID# 7012171994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1023114279 |
| PAC ID by PECOS | 7012171994 |
| Professional Enrollment ID | I20120625000656 |
| Full Name | Eric Goulston |
| Organization Legal Name | MYEYEDR OPTOMETRY OF MARYLAND LLC |
| Address |
2936 Festival Way Suite 409a Waldorf MD 20601-2957 |
| Phone Number | 3017106919 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2002 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6002037629 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 30 Shining Willow Way, 30 B, La Plata, MD 20646-4224 | 2405234555 | MYEYEDR OPTOMETRY OF MARYLAND LLC |
| 6178 Oxon Hill Rd, Suite 100, Oxon Hill, MD 20745-3161 | 3012453903 | OXON HILL OPTOMETRY, LLC |
| 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 | 3017106919 | MYEYEDR OPTOMETRY OF MARYLAND LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF MARYLAND LLC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wai Yin Teresa Chang | Optometry | Myeyedr Optometry of Maryland LLC | 1725b Dual Hwy, Hagerstown, MD 21740-6653 |
| Eleanor Siri | Optometry | Myeyedr Optometry of Maryland LLC | 2657 N Salisbury Blvd, Suite 104, Salisbury, MD 21801-2184 |
| Marty J Wyman | Optometry | Myeyedr Optometry of Maryland LLC | 625 Baltimore Blvd, Suite K, Westminster, MD 21157-6183 |
| Larry Rubin | Optometry | Myeyedr Optometry of Maryland LLC | 825 Dulaney Valley Rd, Suite 2135, Towson, MD 21204-2149 |
| Chelsea Ray Dayton | Optometry | Myeyedr Optometry of Maryland LLC | 12101 Winchester Rd, Suite 102, Cumberland, MD 21502-7688 |
| Carol A Schwan | Optometry | Myeyedr Optometry of Maryland LLC | 2321 E Forest Dr, Annapolis, MD 21401-3833 |
| Kristen M Montgomery | Optometry | Myeyedr Optometry of Maryland LLC | 19814 Century Blvd, Germantown, MD 20874-1198 |
| Calvin Osterman | Optometry | Myeyedr Optometry of Maryland LLC | 4412 Mitchellville Rd, Bowie, MD 20716-3112 |
| Robert R Mitter | Optometry | Myeyedr Optometry of Maryland LLC | 6306 /2 York Rd, Baltimore, MD 21212-2635 |
| Carmoly T Sanders | Optometry | Myeyedr Optometry of Maryland LLC | 23105 Three Notch Rd, Suite A, California, MD 20619-2417 |
| Street Address |
2936 FESTIVAL WAY SUITE 409A |
| City | WALDORF |
| State | MD |
| Zip | 20601-2957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard B Cohen | Optometry | Myeyedr Optometry of Maryland LLC | 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 |
| Mark D Lebar | Optometry | Myeyedr Optometry of Maryland LLC | 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 |
| Jack Stern | Optometry | Myeyedr Optometry of Maryland LLC | 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 |
| Philip Berry | Optometry | Myeyedr Optometry of Maryland LLC | 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 |
| Steven F Sopher | Optometry | Myeyedr Optometry of Maryland LLC | 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 |
| Anupreet Chawla | Optometry | Myeyedr Optometry of Maryland LLC | 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 |
| Robert F Lloyd Jr. | Optometry | Myeyedr Optometry of Maryland LLC | 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 |
| Andrew H Williams | Optometry | Myeyedr Optometry of Maryland LLC | 2936 Festival Way, Suite 409a, Waldorf, MD 20601-2957 |
| John Geremia | Optometry | Myeyedr Optometry of Maryland LLC | 2936 Festival Way, Waldorf, MD 20601-2957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria B Nunez Imholtz | Optometry | Myeyedr Optometry of Maryland LLC | 2955 Crain Hwy A B, Waldorf, MD 20601 |
| Jean Masoso | Family Medicine | Patient First Maryland Medical Group Pllc | 2855 Crain Hwy, Waldorf, MD 20601-2807 |
| Kevin Renee Colvin | Physical Therapy | Professional Sportscare and Rehab LLC | 2875 Crain Hwy, Suite 6, Waldorf, MD 20601-2807 |
| Melissa Denham | Family Medicine | Patient First Maryland Medical Group Pllc | 2855 Crain Hwy, Waldorf, MD 20601-2807 |
| Richard J Chang | Family Medicine | Patient First Maryland Medical Group Pllc | 2855 Crain Hwy, Waldorf, MD 20601-2807 |
| Paul A Garrett | Physician Assistant | Patient First Maryland Medical Group Pllc | 2855 Crain Hwy, Waldorf, MD 20601-2807 |
| Tatyana M Kushnir | Family Medicine | Patient First Maryland Medical Group Pllc | 2855 Crain Hwy, Waldorf, MD 20601-2807 |
| Anne K Monroe | Internal Medicine | Patient First Maryland Medical Group Pllc | 2855 Crain Hwy, Waldorf, MD 20601-2807 |
| Frederick J Karkowski | Internal Medicine | Patient First Maryland Medical Group Pllc | 2855 Crain Hwy, Waldorf, MD 20601-2807 |
| Josephine Moyo | Physician Assistant | Patient First Maryland Medical Group Pllc | 2855 Crain Hwy, Waldorf, MD 20601-2807 |
| Find all physicians in zip 20601 | |||
| City | WALDORF |
| Zip Code | 20601 |
| Specialty | OPTOMETRY |
| City + Specialty | WALDORF + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.