Goodwin, Curtis L

Goodwin, Curtis L is an individual health care provider with primary practice located at 3168 Memorial Hwy Suite 4, Dallas PA 18612-9201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goodwin, Curtis L can be contacted via phone (570) 675-3627.

Contact Information

Primary practice address
3168 Memorial Hwy Suite 4 Dallas PA 18612-9201
Phone: (570) 675-3627
Fax: (570) 675-7320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000561 Pennsylvania

Profile Details

NPI number 1750394888
LBN Legal business name Goodwin, Curtis L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jan 8th, 2010 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750394888 NPPES
Other 13640 GEISINGER
Other GO096131 GEISINGER
MEDICAID 000859790 GEISINGER
Other 078258 GEISINGER
Other 410038354 GEISINGER
Other 506554 GEISINGER

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