Joshua J. Gooden, Optometrist, P.A.

LBN: Joshua J. Gooden, Optometrist, P.A.
Joshua J. Gooden, Optometrist, P.A. is an health care organization with primary practice located at 104 Albert Ave. , Scott City KS 67871-1216. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Joshua J. Gooden, Optometrist, P.A. can be contacted via phone (620) 872-0040, or through Gooden, Joshua J. via phone (620) 872-0040.

Contact Information

Primary practice address
104 Albert Ave. Scott City KS 67871-1216
Phone: (620) 872-0040
Fax: (620) 872-0041
Website:
Map and Directions
Authorized official contact:
Name: Gooden, Joshua J. Doctor of Optometry (OD)
Phone: (620) 872-0040

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1528 Kansas

Profile Details

NPI number 1093826968
LBN Legal business name Joshua J. Gooden, Optometrist, P.A.
DBA Doing business as
Authorized official Gooden, Joshua J. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 26th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093826968 NPPES
Kansas MEDICAID 100325510C
Kansas Other 410039905

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