Individual
DR. RICHARD GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
75 MAIN ST, HOULTON, ME 04730-2122
(207) 532-2486
(207) 532-9242
Mailing address
75 MAIN ST, HOULTON, ME 04730-2122
(207) 532-2486
(207) 532-9242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
611T
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5676080001
MEDICARE DME
—
Enumeration date
08/29/2007
Last updated
11/13/2012
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