Individual
BRUCE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3309 FORESTVILLE PL, FORESTVILLE, MD 20747-4409
(301) 420-6610
(301) 735-0294
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0653
MD
Other
Enumeration date
06/13/2006
Last updated
01/30/2018
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