NPI 1346110186

Michael Jon Goodwin, LDO

Practitioner Optician St Petersburg, FL

Practice location

Address: 1107 Venetian Harbor Dr NE, St Petersburg, FL 33702-1916
Phone: (727) 421-8133

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1913 (FL)

Other Technician/Technologist providers in Florida →

Registry record

NPI: 1346110186
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2025
Record last updated: 7 Nov 2025

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.