Goodwin Eye Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2210 Issued in MD

Legal business name

GOODWIN EYE ASSOCIATES, LLC

Practice address

2400 Five Lees LN
Optical Department
Glenarden, MD 20706-1617

Phone

(301) 341-6753

Fax

(301) 341-6754

NPI assigned

Apr 7, 2011

Last updated

Apr 7, 2011By 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

Dr. Lila Anne Goodwin, O.D.

Title

President of Company

Phone

(301) 341-6753

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1508155813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FIVE LEES LN",
            "address_2": "OPTICAL DEPARTMENT",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207061617",
            "telephone_number": "301-341-6753",
            "fax_number": "301-341-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FIVE LEES LN",
            "address_2": "OPTICAL DEPARTMENT",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207061617",
            "telephone_number": "301-341-6753",
            "fax_number": "301-341-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "LILA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "301-341-6753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Glenarden, MD
• Providers in Glenarden, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.