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

Glen K Goodman, MD

Individual provider Ophthalmology Physician · NPI 1043218159

Glen K Goodman, MD is an Ophthalmology in Waterbury, Connecticut. Graduated from Boston University School of Medicine in 1978, 48 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.

Years since qualifying
48
Trained at
Boston University School of Medicine
Licensed in
CT, MA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

87 Grandview Ave
Waterbury, CT 06708-2514
Phone: (203) 574-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 67111 (CT)
Ophthalmology Physician Taxonomy 207W00000X · Licence 46944 (MA)

Record details

NPI number1043218159
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021
Mailing address87 Grandview Ave, Waterbury, CT 06708-2514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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