R F Ccollins & S Goodman PTRS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

R F CCOLLINS & S GOODMAN PTRS

Practice address

5722 Telephone Rd
Suite 19
Ventura, CA 93003-5318

Phone

(818) 982-0076

NPI assigned

May 10, 2013

Organization subpart

No

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

Authorized official

Name

Suzanne L GoodmanNPI 1558411579

Title

OD

Phone

(818) 982-0076

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Suzanne Lynn Goodman, OPTOMETRIST

  • Optometrist
  • Ventura, CA
  • NPI 1558411579
  Medicare reassignment Authorized official
• Robert Floyd Collins, OD

  • Optometrist
  • North Hollywood, CA
  • NPI 1366522492
  NPD (past)
• Ann Nhu Le, O.D.

  • Optometrist
  • Indio, CA
  • NPI 1285006874
  NPD (past)

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1639515166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 TELEPHONE RD",
            "address_2": "SUITE 19",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035318",
            "telephone_number": "818-982-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 TELEPHONE RD",
            "address_2": "SUITE 19",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035318",
            "telephone_number": "818-982-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R F CCOLLINS & S GOODMAN PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "818-982-0076"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0082370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Quirino, ASW 95079
• Jacqueline Quitadamo
• Diane Marie Quitoriano, R.N., P.H.N.
• R and J Prosthetic Appliance Co.
• R and J Prosthetic Appliance Co. Inc.
• R Malekzadeh, D.D.S., Inc.
• Angela Rabkin, M.D.
• Rachel Dittmar Marriage and Family Therapy, Inc.
• Sara Radding, MFT
• Damien Rader

• Optometrist in Ventura, CA
• Providers in Ventura, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.