Individual
DR. MICHAEL PAUL GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
33398 WALKER RD, STE. B, AVON LAKE, OH 44012-1496
(440) 933-3214
(440) 933-4924
Mailing address
33398 WALKER RD, STE. B, AVON LAKE, OH 44012-1496
(440) 933-3214
(440) 933-4924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4281T463
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0911302
—
OH
01
—
P00176434
RAILROAD MEDICARE
OH
Enumeration date
03/08/2007
Last updated
12/08/2008
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