Individual
JOSHUA J GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
104 ALBERT AVE., SCOTT CITY, KS 67871-1216
(620) 872-0040
Mailing address
P.O. BOX 712, 104 ALBERT AVE., SCOTT CITY, KS 67871-1216
(620) 872-0040
(620) 872-0041
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1528-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325510C
—
KS
01
—
410039905
RR MEDICARE
KS
01
—
651038
BLUE CROSS & BLUE SHIELD
KS
Enumeration date
03/01/2006
Last updated
02/26/2013
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