Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLLIP GOODMAN
Active Sole ProprietorPHILLLIP GOODMAN is a Optician, Dispensing healthcare provider located in WATERLOO, New York. NPI 1760072896 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · WATERLOO, NY
Registration Details
- NPI Number
- 1760072896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2021 (5.5548148056914 yrs)
- Last Updated
- Jan 22, 2021
- License
-
010346 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 MAIN STREET SHOP CTRWATERLOO, NY, 131651454Browse NY providers · Browse ZIP 13165
- Phone
- 3155391209
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in WATERLOO, NY
| Name | Credential | NPI |
|---|---|---|
| GARTH A COURT | OPTICIAN | 1508932229 |
| MR. DANIEL GOODMAN | OPTICIAN | 1902925670 |
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.