# DRGOODEYE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558276899
- **Authorized official:** DR. SIDNEY BRENT GOODWIN OD (MEDICAL OFFICER)
- **Authorized official phone:** (719) 467-5143

## Contact information

- **Practice address:** 12 KANE CT, PAGE, AZ 86040-0826
- **Practice address phone:** (719) 467-5143
- **Mailing address:** PO BOX 3030, PAGE, AZ 86040-3030
- **Mailing address phone:** (719) 467-5143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | NULL | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | — | — |

## Other

- **Enumeration date:** 08/18/2026
- **Last updated:** 08/18/2026