PERRY JAY GOODMAN


Address: 2300 12th St, Meridian, MS 39301-3933
Phone: 6014832616

PERRY JAY GOODMAN (NPI# 1336247089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336247089
Entity Type Individual
Full Name PERRY JAY GOODMAN
Credential M.D.
Practice Address 2300 12th St
Meridian
MS 39301-3933
Practice Telephone 6014832616
Practice Fax Number 6014857282
Mailing Telephone 6014832616
Mailing Fax Number 6014857282
Enumeration Date 2006-09-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 14964 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00011750 05
MS STATE MEDICAL LISCENSE 14964 01

Office Location

Street Address 2300 12TH ST
City MERIDIAN
State MS
Zip Code 39301-3933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588762223 Jonathan Houston Moore Ophthalmology 2300 12th St, Meridian, MS 39301-3933 2006-09-20
1811423726 Ciclops Telepathology LLC Pathology 2300 12th St, Meridian, MS 39301-3933 2017-05-11
1548380835 Meridian Ophthalmic Associates, P.a. Ophthalmology 2300 12th St, Meridian, MS 39301-3933 2007-03-30
1356449078 Thurman Keith Everett Ophthalmology 2300 12th St, Meridian, MS 39301-3933 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407460439 Kayla Lee Monsour Pharmacist 1415 24th Avenue, Meridian, MS 39301 2020-09-08
1306478359 K&r Optical Solutions Corporation Eyewear Supplier (Equipment, not the service) 3126 8th St., Suite A, Meridian, MS 39301 2020-02-07
1912537317 Courtney M Hollie Counselor 1054 Ms-19, Meridian, MS 39301 2020-01-24
1932636495 Rcg Mississippi, Inc. Clinic/Center 1300 38th Ave E, Meridian, MS 39301 2017-05-16
1811428915 Tierria Mcglothin Nurse Practitioner 1054 Highway 19 S, Meridian, MS 39301 2017-03-21
1154869303 Lindsay Nemanich Physical Therapist 3716 Ms-39, Meridian, MS 39301 2017-02-08
1700323599 Wal-mart Stores East Lp Pharmacy 3310-a Highway 39 North, Meridian, MS 39301 2017-01-31
1972977460 Southeast Pharmacy LLC Pharmacy 2402 Long Creek Road, Meridian, MS 39301 2015-11-20
1235508342 East Mississippi Oral & Facial Surgery, LLC Clinic/Center 1212 24th Avenue, Meridian, MS 39301 2015-09-18
1831580778 Clarkdale Pharmacy and Gifts LLC Pharmacy 6935c Hwy 145, Meridian, MS 39301 2015-02-13
Find all providers in zip 39301

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093071219 Cassandra White Ophthalmology 2720 W Cherry Ln, Meridian, ID 83642-1137 2012-04-02
1588762223 Jonathan Houston Moore Ophthalmology 2300 12th St, Meridian, MS 39301-3933 2006-09-20
1336251073 Treasure Valley Eye Center P A Ophthalmology 3045 E St Lukes St # 100, Meridian, ID 83642-3507 2006-08-31
1083656334 Scott C Simpson Ophthalmology 3715 E Overland Road, Suite 250, Meridian, ID 83642 2006-06-12
1548380835 Meridian Ophthalmic Associates, P.a. Ophthalmology 2300 12th St, Meridian, MS 39301-3933 2007-03-30
1255456323 Retina Consultants of Idaho, Pllc Ophthalmology 3715 E Overland Road, Suite 250, Meridian, ID 83642 2007-03-20
1356449078 Thurman Keith Everett Ophthalmology 2300 12th St, Meridian, MS 39301-3933 2006-09-20
1568486884 John Lawrence Mason Jr. Ophthalmology 1301 20th Ave, Meridian, MS 39301-4121 2006-07-27
1649294935 Don E Marascalco Ophthalmology 1301 20th Ave, Meridian, MS 39301-4121 2006-07-27
1881629327 Mark R Miller Ophthalmology 3045 E St Lukes St, Suite 100, Meridian, ID 83642-3507 2006-07-12
Find all providers in MERIDIAN

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City MERIDIAN
Zip Code 39301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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