Goodwin, Sidney Brent
Goodwin, Sidney Brent is an sole proprietor health care provider with primary practice located at 2776 E Main St , Canon City CO 81212-4010. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Goodwin, Sidney Brent can be contacted via phone (719) 275-1523.Contact Information
Primary practice address
2776 E Main St
Canon City CO 81212-4010
Phone: (719) 275-1523
Fax: (719) 275-6925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OL039 | Guam |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3201 | Colorado |
Profile Details
| NPI number | 1750541009 |
|---|---|
| LBN Legal business name | Goodwin, Sidney Brent |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2008 |
| Last updated | Aug 16th, 2022 - about 3 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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