R Charles Goodman, Jr, Od, Llc | |
1110 Eastdale Mall, Montgomery, AL 36117-2144 | |
(334) 272-4722 | |
(334) 272-5096 |
Full Name | R Charles Goodman, Jr, Od, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1110 Eastdale Mall, Montgomery, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609266030 | NPI | - | NPPES |
143416 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S729-TA155 (Alabama) | Primary |
Provider Name | Roy C Goodman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265428353 PECOS PAC ID: 3971668427 Enrollment ID: I20090217000106 |
Mailing Address | Practice Location Address |
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R Charles Goodman, Jr, Od, Llc 1110 Eastdale Mall, Montgomery, AL 36117-2144 Ph: (334) 272-4722 | R Charles Goodman, Jr, Od, Llc 1110 Eastdale Mall, Montgomery, AL 36117-2144 Ph: (334) 272-4722 |
Dean Edward Schultz Iii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg 760, Montgomery, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607 | |
Dr. Camtu H. Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6495 Atlanta Hwy, Montgomery, AL 36117 Phone: 334-272-0124 | |
Montgomery Eye Physicians P.c Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8131 Seaton Pl, Montgomery, AL 36116 Phone: 334-323-1889 Fax: 334-270-3375 | |
Dr. Stephen J. Bordlee, D.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-270-4670 | |
Montgomery Optometric Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5783 Carmichael Pkwy, Montgomery, AL 36117 Phone: 334-271-2020 Fax: 334-271-2042 | |
Dr. Doris Ann Appleby, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5783 Carmichael Pkwy, Montgomery Optometric Clinic, Pa, Montgomery, AL 36117 Phone: 334-271-2020 Fax: 334-271-2042 | |
Dr. Roy Charles Goodman Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1110 Eastdale Mall, Montgomery, AL 36117 Phone: 334-272-4722 Fax: 334-272-5096 |