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Organization
R F CCOLLINS & S GOODMAN PTRS
Active
Organization
R F CCOLLINS & S GOODMAN PTRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE L GOODMAN (OD)
(818) 982-0076
Entity
Organization
Contact information
Practice address
5722 TELEPHONE RD, SUITE 19, VENTURA, CA 93003-5318
(818) 982-0076
Mailing address
5722 TELEPHONE RD, SUITE 19, VENTURA, CA 93003-5318
(818) 982-0076
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0082370
—
CA
Enumeration date
05/10/2013
Last updated
11/01/2013
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