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

Michael Jon Goodwin, LDO

Individual provider Optician · NPI 1346110186

Michael Jon Goodwin, LDO is an Optician in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

1107 Venetian Harbor Dr NE
St Petersburg, FL 33702-1916
Phone: (727) 421-8133
Show map & directions

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

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1913 (FL)

Record details

NPI number1346110186
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedNovember 7, 2025
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address1107 Venetian Harbor Dr Ne, St Petersburg, FL 33702-1916

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