Individual
DR. SIDNEY BRENT GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2776 E MAIN ST, CANON CITY, CO 81212-4010
(719) 275-1523
(719) 275-6925
Mailing address
921 HARRISON AVE, CANON CITY, CO 81212-3443
(719) 467-5143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OL039
GU
152WC0802X
Corneal and Contact Management Optometrist
Primary
3201
CO
Other
Enumeration date
06/11/2008
Last updated
08/16/2022
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