Goodman Eyecare Center, LLC
Organization Active NPI Optometrist · Forestville, MD
NPI 1013072263 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1013072263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- GOODMAN EYECARE CENTER, LLC
- Practice address
- 3309 Forestville PL
Forestville, MD 20747-4409 - Phone
- (301) 420-6610
- Fax
- (301) 735-0294
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Practitioners 1
-
Michael Jeffrey Davidson, O.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2312633 | Goodman Eyecare Center LLC | Certificate of waiver | Oct 15, 2026 |
National Provider Directory
Locations
3309 Forestville Pl
Forestville, MD 20747
Phone (301) 420-6610
2955 Crain Hwy
Ste Ab
Waldorf, MD 20601
Phone (301) 843-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
3309 Forestville PL
Forestville, MD 20747-4409
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6071190001 | Other | DMERC |
Other names
- My Eye Dr.
Other providers in Forestville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.