Goff, Kathleen E
Goff, Kathleen E is an individual health care provider with primary practice located at 2222 Montana Ave , El Paso TX 79903-3602. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Goff, Kathleen E can be contacted via phone (915) 544-6700.Contact Information
Primary practice address
2222 Montana Ave
El Paso TX 79903-3602
Phone: (915) 544-6700
Fax: (915) 544-6707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 02539TG | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02539TG | Texas |
Profile Details
| NPI number | 1144223058 |
|---|---|
| LBN Legal business name | Goff, Kathleen E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jul 15th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144223058 | NPPES |
| Texas | Other | 80664Q | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 037028002 | BLUE CROSS BLUE SHIELD |
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