Goodman, Roy Charles

Goodman, Roy Charles is an individual health care provider with primary practice located at 1110 Eastdale Mall , Montgomery AL 36117-2118. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goodman, Roy Charles can be contacted via phone (334) 272-4722.

Contact Information

Primary practice address
1110 Eastdale Mall Montgomery AL 36117-2118
Phone: (334) 272-4722
Fax: (334) 272-5096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S729-TA155 Alabama

Profile Details

NPI number 1265428353
LBN Legal business name Goodman, Roy Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jan 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265428353 NPPES
Alabama MEDICAID 143416

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