Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAKE CLINTON GOODWIN, OPTICIAN
Active Sole ProprietorMR. JAKE CLINTON GOODWIN, OPTICIAN is a Optician, Dispensing healthcare provider located in BESSEMER, Alabama. NPI 1588840805 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BESSEMER, AL
Registration Details
- NPI Number
- 1588840805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2008 (18.543244840082 yrs)
- Last Updated
- Jan 16, 2008
- License
-
08007709 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
512 19TH ST NBESSEMER, AL, 350204821Browse AL providers · Browse ZIP 35020
- Phone
- 2054242020
- Fax
- 2054255665
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.