Individual
DR. MARK ERIC GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
80 W WELSH POOL RD, SUITE 106, EXTON, PA 19341-1233
(610) 363-1871
(610) 363-0280
Mailing address
102 BIRCH DR, DOWNINGTOWN, PA 19335-4115
(610) 363-1871
(610) 363-0280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE006360T
PA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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