location
search-icon
person
Philllip Goodman
Optician in Waterloo, New York
NPI 1760072896

Philllip Goodman is a Optician based in Waterloo, NY and is specialized in Optician. Philllip Goodman practices in Waterloo, NY. The NPI Number for Philllip Goodman is 1760072896 and holds a License No. 010346 (New York).

The current practice location address for Philllip Goodman is 204 Main Street Shop Ctr, Waterloo, NY and can be reached out via phone at 315-539-1209.

Location: 204 Main Street Shop Ctr, Waterloo, NY, 13165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760072896
Provider Name
Philllip Goodman
Credential
Provider Entity Type
Individual
Gender
Male
Address
204 Main Street Shop Ctr, Waterloo, NY, 13165
Phone Number
315-539-1209
Fax Number
Provider Enumeration Date
01/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
204 Main Street Shop Ctr
City
Waterloo
State
New York
Zip
13165-1454
Phone Number
315-539-1209
Fax Number
person
Provider Business Mailing Address Details
Address
204 Main Street Shop Ctr
City
Waterloo
State
New York
Zip
13165-1454
Phone Number
315-539-1209
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
010346 (New York)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.