Raymond C. Goodman, O.d., P.a.

  • 1619000940 NPI Number
  • |
  • Actived: 12 years ago
  • |
According to our database, NPI number for Raymond C. Goodman, O.d., P.a. is 1619000940 and actived since Wednesday, March 14 2007. Raymond C. Goodman, O.d., P.a. is an Organization provider specializes in Optometrist. Provider information was last updated on 01/28/2011.

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Overview of Raymond C. Goodman, O.d., P.a.

  • NPI number: 1801446539
  • Provider type: Organization
  • Specialty: Optometrist
  • Active since: 03/14/2007
  • Last updated: 01/28/2011

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: ODP-100008
  • License State: ID

Provider Mailing Address

  • Address: 317 Main St
    Gooding, ID 83330
  • Phone: 208-934-4856
  • Fax: 208-934-5818

Provider Practice Location

  • Address: 317 Main St
    Gooding, ID 83330
  • Phone: 208-934-4856
  • Fax: 208-934-5818

Authorized Official

  • Name: DR. Raymond Clyde Goodman O.D.
  • Position/Title: President
  • Telephone Number: 208-934-4856

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: ODP-100008
  • License State: ID
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: DA2306
  • Identifier Type: Other
  • Identifier State: ID
  • Issuer: RAILROAD MEDICARE

Question & Answers

What is the npi number?

  • Q: What is the npi number for Raymond C. Goodman, O.d., P.a.?
  • A: The npi number for Raymond C. Goodman, O.d., P.a. is 1619000940.
  • Q: What are Raymond C. Goodman, O.d., P.a.'s specialties?
  • A: Raymond C. Goodman, O.d., P.a.'s specialties are Optometrist and different specialities.
  • Q: Where is Raymond C. Goodman, O.d., P.a. business practice location?
  • A: Raymond C. Goodman, O.d., P.a. business practice location is 317 Main St, Gooding, ID 83330.
  • Q: How to contact Raymond C. Goodman, O.d., P.a.?
  • A: You can contact Raymond C. Goodman, O.d., P.a. via 208-934-4856.
  • Q: What is the authorized official for Raymond C. Goodman, O.d., P.a.?
  • A: The authorized office name is DR. Raymond Clyde Goodman O.D. with position/title is President and you can reach the authorized official via phone number 2089344856.