R Charles Goodman, Jr, Od, Llc

LBN: R Charles Goodman, Jr, Od, Llc
R Charles Goodman, Jr, Od, Llc is an health care organization with primary practice located at 1110 Eastdale Mall , Montgomery AL 36117-2144. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. R Charles Goodman, Jr, Od, Llc can be contacted via phone (334) 272-4722, or through Goodman, Roy C via phone (334) 750-3831.

Contact Information

Primary practice address
1110 Eastdale Mall Montgomery AL 36117-2144
Phone: (334) 272-4722
Fax: (334) 272-5096
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Roy C Doctor of Optometry (OD)
Phone: (334) 750-3831

Health care specialties

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

Profile Details

NPI number 1609266030
LBN Legal business name R Charles Goodman, Jr, Od, Llc
DBA Doing business as
Authorized official Goodman, Roy C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2015
Last updated Jan 23rd, 2015 - about 10 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 1609266030 NPPES
Alabama MEDICAID 143416

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