Robert G Goodrich Od Pc

LBN: Robert G Goodrich Od Pc
Robert G Goodrich Od Pc is an health care organization with primary practice located at 830 N Main St Suite 1, Spearfish SD 57783-2185. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Robert G Goodrich Od Pc can be contacted via phone (605) 642-2645, or through Goodrich, Robert G via phone (605) 642-2645.

Contact Information

Primary practice address
830 N Main St Suite 1 Spearfish SD 57783-2185
Phone: (605) 642-2645
Fax: (605) 642-8345
Website:
Map and Directions
Authorized official contact:
Name: Goodrich, Robert G Doctor of Optometry (OD)
Phone: (605) 642-2645

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 120 South Dakota

Profile Details

NPI number 1154566149
LBN Legal business name Robert G Goodrich Od Pc
DBA Doing business as
Authorized official Goodrich, Robert G Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2008
Last updated Dec 5th, 2008 - about 16 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 1154566149 NPPES
South Dakota MEDICAID 9201180

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