Daniel Goodman, OPTICIAN

NPI 1902925670 · on the registry since 2007

Practice

Address: 204 Main Street Shop Ctr
Waterloo, NY 13165
Phone: (315) 539-1209
Fax: (607) 739-8454
Organisation at this address: Andrew P Smith, Od
Waterloo Ophthalmic Dispensing, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-11-03

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 New York