Raymond C. Goodman, O.d., P.a.

NPI #1619000940 in Gooding, Idaho

Provider Information

NPI Number: 1619000940
Entity Type: Organization
Organization Name: Raymond C. Goodman, O.d., P.a.
Primary Specialty: Optometrist
Enumeration Date: Mar 14, 2007
Last Updated: Jan 28, 2011

Practice Location

Address: 317 MAIN ST
City: Gooding
State: Idaho
ZIP Code: 83330-1302
Phone: (208) 934-4856

Authorized Official

Name: DR. RAYMOND CLYDE GOODMAN, O.D.
Title: PRESIDENT
Phone: (208) 934-4856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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