Glen K. Goodman, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

46944 Issued in MA

Legal business name

GLEN K. GOODMAN, P.C.

Practice address

5 Water St
Milford, MA 01757-4105

Phone

(508) 381-5600

Fax

(508) 381-5610

NPI assigned

Oct 9, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glen K. Goodman, MD

Title

Owner

Phone

(508) 381-5600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1134317894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WATER ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017574105",
            "telephone_number": "508-381-5600",
            "fax_number": "508-381-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WATER ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017574105",
            "telephone_number": "508-381-5600",
            "fax_number": "508-381-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN K. GOODMAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-381-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "46944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynne Giordano
• Abigail Irene Girard
• Dylan E Girouard
• Allison Jean Glasier
• Lesley Glaude, CRNA
• Glen K. Goodman, P.C.
• Hillary Glickman, M.A.
• Megan Elizabeth Glynn
• Rebecca Godfrey
• Kaitlyn Goff

• Ophthalmology Physician in Milford, MA
• Providers in Milford, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.