Roy Charles Goodman Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S729-TA155 Issued in AL

Practice address

1110 Eastdale Mall
Montgomery, AL 36117-2118

Phone

(334) 272-4722

Fax

(334) 272-5096

NPI assigned

Sep 23, 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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• R Charles Goodman, Jr, OD, LLC

  • Optometrist
  • Montgomery, AL
  • NPI 1609266030
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1265428353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 EASTDALE MALL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172118",
            "telephone_number": "334-272-4722",
            "fax_number": "334-272-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 EASTDALE MALL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172118",
            "telephone_number": "334-272-4722",
            "fax_number": "334-272-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ROY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S729-TA155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143416",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Gonzalez, APN
• Timothy Marshall Goode, LMFT
• James Means Gooden
• Shereka Gooden
• Lisa Ann Goodman, CRNP
• Thomas M Goodman, M.D.
• Bethany Goodrum, COTA/L
• Karen Renee Goodwin, M.ED, LPC
• Michelle Rhea Goodwyn, DMD
• Katie Shiver Googe, DO

• Optometrist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.