Kevin Lee Goodhue Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4705 Issued in FL

Practice address

730 South Orange Blossom Trail
Apopka, FL 32703

Phone

(407) 880-0335

NPI assigned

Jan 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Perry, FL
  • NPI 1437537529
  NPD (past)
• Robert S. Webster

  • Optometrist
  • Oviedo, FL
  • NPI 1841405115
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1730459686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SOUTH ORANGE BLOSSOM TRAIL",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32703",
            "telephone_number": "407-880-0335",
            "fax_number": "407-880-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SOUTH ORANGE BLOSSOM TRAIL",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32703",
            "telephone_number": "407-880-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODHUE",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1677",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathrina Rose Gonzales, PHARM.D.
• Jennifer Marie Gonzalez, PA-C, LAT, ATC
• Linda Gonzalez, ARNP
• Good Care Pediatrics,LLC
• Good Natured Care of Orlando, LLC
• Allison Leigh Goodman, RD
• David F.a. Goodridge
• Michael D. Gordon, M.D.
• Nancy M Gordon
• Nathanael James Gordon

• Optometrist in Apopka, FL
• Providers in Apopka, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.