Individual
ANDREW M GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4032 CAMPBELL RD, SUITE B, NEWPORT NEWS, VA 23602-4252
(757) 877-3956
(757) 856-7121
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000165
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174500631
—
VA
Enumeration date
12/27/2005
Last updated
05/10/2011
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