Search › Colorado › 152WC0802X
Sidney Goodwin, O.D
NPI 1750541009 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2776 E Main St
Canon City, CO 81212 - Phone
- (719) 275-1523
- Fax
- (719) 275-6925
- Organisation at this address
- Skyline Vision Optical Llc
Peak Vision Canon City Prof, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152WC0802X
152WC0802X
- Also registered as
- 152W00000X
- Licence states on file
- GU, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-16
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 Colorado