Philllip Goodman
Philllip Goodman is an Optician in Waterloo, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
204 Main Street Shop CtrWaterloo, NY 13165-1454
Phone: (315) 539-1209
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 010346 (NY) |
|---|
Record details
| NPI number | 1760072896 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 22, 2021 |
| Last updated in NPPES | January 22, 2021 |
| Certification date | January 22, 2021 |
| Mailing address | 204 Main Street Shop Centre, Waterloo, NY 13165 |
Other providers in Waterloo
-
Garth A Court, OPTICIAN
204 Main St Shop Ctr, Waterloo, NY 13165 · (315) 539-1209
-
Mr. Daniel Goodman, OPTICIAN
204 Main Street Shop Ctr, Waterloo, NY 13165-1454 · (315) 539-1209