Individual
DR. SUSAN MARIE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
14413 ILLINOIS RD, STE. C, FORT WAYNE, IN 46814-9714
(260) 616-0184
(855) 271-9517
Mailing address
14413 ILLINOIS RD, STE. C, FORT WAYNE, IN 46814-9714
(260) 616-0184
(855) 271-9517
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003062A
IN
Other
Enumeration date
01/26/2007
Last updated
07/27/2012
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