Individual
DR. TERRY ALLEN GOODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8921 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-2400
(309) 243-7918
Mailing address
8921 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-2400
(309) 243-7918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010713
IL
Other
Enumeration date
09/16/2013
Last updated
07/28/2020
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