Search › Michigan › 152W00000X
Jaclyn Goodvin, OD
NPI 1467078915 · on the registry since 2020
Practice
- Address
- 7 E Main St
Milan, MI 48160 - Phone
- (734) 439-2020
- Fax
- (734) 439-2047
- Organisation at this address
- Fountain Optometry, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- OH, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan