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

Kevin Goodwin

Individual provider Optometrist · NPI 1740697408

Kevin Goodwin is an Optometry in Montgomery, Illinois. Graduated from Illinois College of Optometry at Chicago in 2014, 12 years ago. Practices with Tyler Ridge Vision Care, Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL
In the registry since
2014

Practice location Address checks out

1050 Ogden Ave
Montgomery, IL 60538-5404
Phone: (630) 449-1955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046010826 (IL)

Record details

NPI number1740697408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESJuly 15, 2014
Mailing address653 W Briarcliff Rd, Bolingbrook, IL 60440-2630

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2014 (12 years in practice)
Group practice Tyler Ridge Vision Care, Ltd — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Montgomery