Andrew M Goodman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000165 Issued in VA

Practice address

4032 Campbell Rd
Suite B
Newport News, VA 23602-4252

Phone

(757) 877-3956

Fax

(757) 856-7121

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riverside Physician Services Inc

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1083867311
  NPD (past)
• Prisma Health University Medical Group

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1083787006
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1174500631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-594-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 CAMPBELL RD",
            "address_2": "SUITE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024252",
            "telephone_number": "757-877-3956",
            "fax_number": "757-856-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174500631",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toti Palma Gonzalo, M.D.
• Good Neighbor Dental at Oyster Point
• Kristen Goode, LCSW
• Thomas Lafayette Goode, RPH
• Colleen Michelle Goodly
• Charleton Yves-Marie B Goodman
• Debra Ann Goodman, CD(DONA)
• Clifford T Goodwin, D.D.S.
• Kimberly Goodwin
• Lori M Goodwin, MD

• Optometrist in Newport News, VA
• Providers in Newport News, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.