NPI 1275169088

Mahalia Leontine Goodman, EYESPECIALIST

Practitioner Optometric Technician Fort Rucker, AL

Practice location

Address: 301 Andrews Ave, Fort Rucker, AL 36362
Phone: (800) 261-7193
Fax: (334) 255-7710

Registered specialties

Optometric Technician Primary

Eye and Vision Services Providers Taxonomy 156FX1202X

Other Technician/Technologist providers in Alabama →

Registry record

NPI: 1275169088
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2020
Record last updated: 13 Mar 2020

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.