NPI 1265428353

Roy Charles Goodman, OD

Practitioner Optometrist Montgomery, AL

Practice location

Address: 1110 Eastdale Mall, Montgomery, AL 36117-2118
Phone: (334) 272-4722
Fax: (334) 272-5096

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence S729-TA155 (AL)

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Registry record

NPI: 1265428353
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2005
Record last updated: 22 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.