Individual
DR. ROY CHARLES GOODMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1110 EASTDALE MALL, MONTGOMERY, AL 36117-2118
(334) 272-4722
(334) 272-5096
Mailing address
1110 EASTDALE MALL, MONTGOMERY, AL 36117-2118
(334) 272-4722
(334) 272-5096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S729-TA155
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143416
—
AL
Enumeration date
09/23/2005
Last updated
01/22/2015
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