Individual
MR. TODD A GOODGLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5530 WISCONSIN AVE STE 1209, CHEVY CHASE, MD 20815-4301
(301) 841-6595
(301) 797-9454
Mailing address
5454 WISCONSIN AVE STE 950, CHEVY CHASE, MD 20815-6912
(301) 657-5700
(301) 654-9132
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101043516
VA
207W00000X
Ophthalmology Physician
D0037803
MD
207W00000X
Ophthalmology Physician
MD21176
DC
207WX0109X
Neuro-ophthalmology Physician
0101043516
VA
207WX0109X
Neuro-ophthalmology Physician
Primary
D0037803
MD
207WX0109X
Neuro-ophthalmology Physician
MD21176
DC
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
0101043516
VA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
D0037803
MD
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
MD21176
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022589600
—
DC
05
—
355041900
—
MD
Enumeration date
06/08/2005
Last updated
10/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us