Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridgewater Goddard Park Medical Associates, Inc Optometry Division

Organization Optometrist · NPI 1316121775

Bridgewater Goddard Park Medical Associates, Inc Optometry Division is an Optometrist in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Liberty St
Brockton, MA 02301-5521
Phone: (508) 894-0400
Fax: (508) 565-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3009 (MA)

Record details

NPI number1316121775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Hollon — Ceo · (508) 941-7004
Other names Signature Medical Group
NPI enumeratedDecember 20, 2007
Last updated in NPPESMay 23, 2012
Mailing address110 Liberty St, Brockton, MA 02301-5521

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