Individual
DR. BRUCE S. GOLDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4875 ALTAMA AVE, BRUNSWICK, GA 31520-2912
(912) 554-0010
(912) 554-0075
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000855
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776238100
—
MD
05
—
865281569A
—
GA
Enumeration date
11/29/2006
Last updated
02/15/2018
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