| Lynn E Goodwin Od Pc | |
|
425 N Main St, Myrtle Creek, OR 97457-0056 | |
| (541) 863-5258 | |
| (541) 863-6000 |
| Full Name | Lynn E Goodwin Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 425 N Main St, Myrtle Creek, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548439185 | NPI | - | NPPES |
| 22617-5 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1481ATI (Oregon) | Primary |
| Provider Name | Lynn Goodwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407968472 PECOS PAC ID: 0042398638 Enrollment ID: I20080423000083 |
| Provider Name | Makayla Renae Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790461911 PECOS PAC ID: 4789044322 Enrollment ID: I20230714001189 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn E Goodwin Od Pc Po Box 6006, Myrtle Creek, OR 97457-0056 Ph: (541) 863-5258 | Lynn E Goodwin Od Pc 425 N Main St, Myrtle Creek, OR 97457-0056 Ph: (541) 863-5258 |
Mr. Lynn E Goodwin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 N Main, Myrtle Creek, OR 97457 Phone: 541-863-5258 Fax: 541-863-6000 | |
Makayla Adams Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 425 N Main St, Myrtle Creek, OR 97457 Phone: 541-863-5258 | |
Makayla Adams, OD Optometrist Medicare: Medicare Enrolled Practice Location: 425 N Main St, Myrtle Creek, OR 97457 Phone: 541-863-5258 |