JEREMY GOLDMAN, O.D., LLC
NPI 1235221029
Optometrist in Owings Mills, MD

Q: What is Jeremy Goldman, O.D., LLC's NPI number?

The NPI number for Jeremy Goldman, O.D., LLC is 1235221029. It was assigned to this organization in the NPPES registry on September 29, 2006.

Q: What is Jeremy Goldman, O.D., LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since September 29, 2006

12621 WATERSPOUT CT, OWINGS MILLS, MD 21117(443) 621-0756 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jeremy Goldman, O.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY GOLDMAN, O.D., LLC (NPI 1235221029) is a healthcare organization registered as an optometrist in Owings Mills, Maryland and active in the NPI registry since September 2006. The organization lists Jeremy Goldman, President, as its authorized official.

NPPES Registry Identity

NPI1235221029

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJEREMY GOLDMAN, O.D., LLC

Location Address12621 WATERSPOUT CTOwings Mills, MD 21117-1028

Mailing Address12621 Waterspout CtOwings Mills, MD 21117

Phone(443) 621-0756

Organization SubpartNo

Authorized OfficialJeremy GoldmanPresident · (443) 621-0756

Enumeration DateSeptember 29, 2006

Last NPPES UpdateFebruary 13, 2017

✔ NPI 1235221029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MD · TA1949

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

12621 WATERSPOUT CT, Owings Mills, MD 21117

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Other Identifiers 5

Medicare PIN412PMD

Medicare NSC6270090001

OtherDO4272MD · Railroad

Medicare PING02742DC

OtherDN0639DC · Railroad

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Goldman, O.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeremy Goldman, O.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeremy Goldman, O.D.

Optometry

NPI 1518923556

12621 WATERSPOUT CT
Owings Mills, MD 21117

(443) 621-0756

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Goldman, O.D., LLC's NPI number?

The NPI number for Jeremy Goldman, O.D., LLC is 1235221029. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Jeremy Goldman, O.D., LLC located?

Jeremy Goldman, O.D., LLC is located at 12621 Waterspout Ct, Owings Mills, MD 21117. The listed phone number is (443) 621-0756.

What is Jeremy Goldman, O.D., LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jeremy Goldman, O.D., LLC enrolled in Medicare?

Yes. Jeremy Goldman, O.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeremy Goldman, O.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jeremy Goldman, O.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Goldman, O.D., LLC was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.