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Organization

GOODWIN EYE ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LILA ANNE GOODWIN O.D. (PRESIDENT OF COMPANY)
(301) 341-6753
Entity
Organization

Contact information

Practice address
2400 FIVE LEES LN, OPTICAL DEPARTMENT, GLENARDEN, MD 20706-1617
(301) 341-6753
(301) 341-6754
Mailing address
2400 FIVE LEES LN, OPTICAL DEPARTMENT, GLENARDEN, MD 20706-1617
(301) 341-6753
(301) 341-6754

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2210
MD

Other

Enumeration date
04/07/2011
Last updated
04/07/2011
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