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Organization
DRGOODEYE LLC
Active
Organization
DRGOODEYE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY BRENT GOODWIN OD (MEDICAL OFFICER)
(719) 467-5143
Entity
Organization
Contact information
Practice address
12 KANE CT, PAGE, AZ 86040-0826
(719) 467-5143
Mailing address
PO BOX 3030, PAGE, AZ 86040-3030
(719) 467-5143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
NULL
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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