Goodman, Suzanne Lynn
Goodman, Suzanne Lynn is an individual health care provider with primary practice located at 5722 Telephone Rd Ste 19 , Ventura CA 93003-5320. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Goodman, Suzanne Lynn can be contacted via phone (805) 644-2386.Contact Information
Primary practice address
5722 Telephone Rd Ste 19
Ventura CA 93003-5320
Phone: (805) 644-2386
Fax: (805) 644-8723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8237 TPL | California |
Profile Details
| NPI number | 1558411579 |
|---|---|
| LBN Legal business name | Goodman, Suzanne Lynn |
| Credentials | OPTOMETRIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jun 11th, 2013 - about 11 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 | 1558411579 | NPPES |
| California | MEDICAID | SD0082370 |
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