| R Charles Goodman, Jr, Od, Llc | |
|
1110 Eastdale Mall, Montgomery, AL 36117-2144 | |
| (334) 272-4722 | |
| (334) 272-5096 |
| Full Name | R Charles Goodman, Jr, Od, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1110 Eastdale Mall, Montgomery, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609266030 | NPI | - | NPPES |
| 143416 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S729-TA155 (Alabama) | Primary |
| Provider Name | Roy C Goodman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265428353 PECOS PAC ID: 3971668427 Enrollment ID: I20090217000106 |
| Mailing Address | Practice Location Address |
|---|---|
| R Charles Goodman, Jr, Od, Llc 1110 Eastdale Mall, Montgomery, AL 36117-2144 Ph: (334) 272-4722 | R Charles Goodman, Jr, Od, Llc 1110 Eastdale Mall, Montgomery, AL 36117-2144 Ph: (334) 272-4722 |
Dean Edward Schultz Iii, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Montgomery, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607 | |
Dr. Justin E Sandholm, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 42d Medical Group, 300 South Twining Street, Bldg 760, Montgomery, AL 36112 Phone: 334-953-5200 | |
Dr. Camtu H. Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6495 Atlanta Hwy, Montgomery, AL 36117 Phone: 334-272-0124 | |
Dr. Stephen J. Bordlee, D.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-270-4670 | |
Montgomery Optometric Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5783 Carmichael Pkwy, Montgomery, AL 36117 Phone: 334-271-2020 Fax: 334-271-2042 | |
Dr. Doris Ann Appleby, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5783 Carmichael Pkwy, Montgomery Optometric Clinic, Pa, Montgomery, AL 36117 Phone: 334-271-2020 Fax: 334-271-2042 | |
Dr. Roy Charles Goodman Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1110 Eastdale Mall, Montgomery, AL 36117 Phone: 334-272-4722 Fax: 334-272-5096 |