Bruce Goodman is a Optometrist in Vienna, Virginia. Bruce Goodman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bruce Goodman is 1730122409. The last update date is 2018-01-30.
Bruce Goodman's current location address is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. You can contact this provider via phone number 7038478899 and fax number 8667954020. The mailing address for Bruce Goodman is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Goodman |
|---|---|
| Address | 1950 Old Gallows Rd Ste 520, Vienna, Virginia |
| Phone Number | 7038478899 |
| Fax Number | 8667954020 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1730122409 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2018-01-30 |
Provider Mailing Address Detail
| Address | 1950 Old Gallows Rd Ste 520 |
|---|---|
| City | Vienna |
| State | Virginia (VA) |
| Post Code | 221823970 |
| Phone Number | 7038478899 |
| Fax Number | 8667954020 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | TA0653 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the Bruce Goodman's 1730122409?
The Bruce Goodman's NPI (National Provider Identifier) Number is 1730122409. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bruce Goodman?
The Bruce Goodman is situated at 1950 Old Gallows Rd Ste 520, in the city of Vienna, state of VA, with the zip code 221823970.
What is the Bruce Goodman's area of specialization and corresponding taxonomy classification?
The Bruce Goodman's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did Bruce Goodman receive its 1730122409 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Goodman was assigned its 1730122409 on 2006-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Bruce Goodman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Goodman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-01-30.