Richard L Goodwin O.D.,P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

611T Issued in ME

Legal business name

RICHARD L GOODWIN O.D.,P.C.

Practice address

75 Main St
Houlton, ME 04730-2122

Phone

(207) 532-2486

Fax

(207) 532-9242

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard L Goodwin, O.D.NPI 1275727570

Title

President

Phone

(207) 532-2486

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Goodwin, O.D.

  • Optometrist
  • Houlton, ME
  • NPI 1275727570
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1497809388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MAIN ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302122",
            "telephone_number": "207-532-2486",
            "fax_number": "207-532-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAIN ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302122",
            "telephone_number": "207-532-2486",
            "fax_number": "207-532-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L GOODWIN O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-532-2486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "611T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117730099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "023153",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precision Eye Care PA
• Stacey Annette Price, LCSW
• Nancy L. Putnam, MHRT-C
• Nancy Y Putnam, FNP
• Rebecca Toupin
• Christoper Rines, LATC
• Terri Ring
• Rite Aid of Maine Inc
• Robert D. Ellis, O.D. P.a.
• Samantha Robson, RN

• Optometrist in Houlton, ME
• Providers in Houlton, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.