DR. MARK ERIC GODDARD (NPI# 1366502692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366502692 |
| Entity Type | Individual |
| Full Name | DR. MARK ERIC GODDARD |
| Credential | O.D. |
| Practice Address |
80 W Welsh Pool Rd Suite 106 Exton PA 19341-1233 |
| Mailing Address |
102 Birch Dr Downingtown PA 19335-4115 |
| Practice Telephone | 6103631871 |
| Practice Fax Number | 6103630280 |
| Mailing Telephone | 6103631871 |
| Mailing Fax Number | 6103630280 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OE006360T | PA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487606323 | Mark Adam Goddard | Radiology | 2050 Oak Mountain Dr, Suite 7, Pelham, AL 35124-1368 | 2006-05-17 |
| 1124101621 | Mark Kimball Goddard | Internal Medicine | 5121 S. Cottonwood Street, Imc, Division of Pulmonary/ccm, Murray, UT 84107 | 2006-10-20 |
| 1184653719 | Mark J. Goddard | Physical Medicine & Rehabilitation | 151 W Galbraith Rd, Cincinnati, OH 45216-1015 | 2006-07-03 |
| Street Address |
80 W WELSH POOL RD SUITE 106 |
| City | EXTON |
| State | PA |
| Zip Code | 19341-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306862362 | Catherine M Marino | Audiologist | 80 W Welsh Pool Rd, Suite 103, Exton, PA 19341-1233 | 2006-07-14 |
| 1992255442 | Integrated Dental Care, LLC | Dentist | 80 W Welsh Pool Rd, Exton, PA 19341-1233 | 2016-10-08 |
| 1104255561 | New Path Md Inc | Internal Medicine | 80 W Welsh Pool Rd, Suite 101s, Exton, PA 19341-1233 | 2013-11-06 |
| 1639516461 | New Path Md PC | Clinic/Center | 80 W Welsh Pool Rd, Suite 101s, Exton, PA 19341-1233 | 2013-06-03 |
| 1104114297 | Samantha Elizabeth Reavell | Audiologist | 80 W Welsh Pool Rd, Exton, PA 19341-1233 | 2011-07-11 |
| 1023345444 | Jeffrey Lee Rosenblum, Md, PC | Urology | 80 W Welsh Pool Rd, Suite 100, Exton, PA 19341-1233 | 2009-11-05 |
| 1215101795 | Janelle Anne Burdette | Audiologist | 80 W Welsh Pool Rd, Suite 103, Exton, PA 19341-1233 | 2008-04-16 |
| 1821260076 | Jean Marie Karlovitz | Audiologist-Hearing Aid Fitter | 80 W Welsh Pool Rd, Suite 103, Exton, PA 19341-1233 | 2008-03-27 |
| 1053582056 | Cletus M. Bonds, IIi, Dmd, PC | Dentist | 80 W Welsh Pool Rd, Suite 201 North, Exton, PA 19341-1233 | 2008-03-18 |
| 1023218666 | Todd Rice | Podiatrist | 80 W Welsh Pool Rd, Exton, PA 19341-1233 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972156024 | Kathryn Avery | Physical Therapy Assistant | Powerback Exton, 501 Thomas Jones Way, Exton, PA 19341 | 2019-07-18 |
| 1457814188 | Your Best Hearing, LLC | Audiologist | 308 Shoen Rd, Exton, PA 19341 | 2019-04-10 |
| 1467932574 | Stephanie Johanna Costello | Behavioral Analyst | 1801 Worthington Drive, Exton, PA 19341 | 2018-08-17 |
| 1831606870 | Mark Wieland | Counselor | 47 Marchwood Rd Ste 1-j1, Exton, PA 19341 | 2017-12-29 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1073039012 | Katelyn Price | Pharmacist | 141 West Lincoln Highway, Exton, PA 19341 | 2017-08-22 |
| 1205378502 | Brenda Bobko | Counselor | 526 Summercroft Drive, Exton, PA 19341 | 2016-11-17 |
| 1669846945 | Sue C Lischuk | Dietitian, Registered | 455 Concord Avenue, Exton, PA 19341 | 2015-11-24 |
| 1619357118 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 487 Lisa Lane, Exton, PA 19341 | 2015-06-01 |
| 1609262179 | Diane Mcquillen | Internal Medicine | 278 Eagleview Blvd # 2, Exton, PA 19341 | 2015-04-12 |
| Find all providers in zip 19341 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138251 | Sabrina Sherman | Optometrist | 93 W Devon Dr Ste 101, Exton, PA 19341-3008 | 2020-06-12 |
| 1306331178 | Angelina Lim | Optometrist | 428 W Lincoln Hwy, Exton, PA 19341-2569 | 2018-06-25 |
| 1316169766 | Theodora Betsy Cozan | Optometrist | 442 West Lincoln Highway, Exton, PA 19341 | 2007-05-03 |
| 1437284262 | Goukler Eye Care, P.C. | Optometrist | 204 Exton Square Mall, Exton, PA 19341-2442 | 2007-02-22 |
| 1093863375 | Singer Specs of Exton, Inc. | Optometrist | 211 W Lincoln Hwy, Exton, PA 19341-2618 | 2007-01-05 |
| 1295890267 | Chester County Eye Care Associates, PC | Optometrist | Commons At Oaklands, 740 W Lincoln Highway, Exton, PA 19341-2580 | 2006-12-27 |
| 1205939535 | John Lieto Jr. | Optometrist | 270 Indian Run Street, Wal-mart Vision Center, Exton, PA 19341 | 2006-09-05 |
| 1437269487 | Mark Brian Boas | Optometrist | 577 W Uwchlan Ave, Exton, PA 19341-1563 | 2006-08-30 |
| 1649388679 | Robert B Kuczynski | Optometrist | 407 W Lincoln Hwy, Exton, PA 19341-2521 | 2006-08-29 |
| 1013950732 | Exton Vision Center,llc | Optometrist | 121 John Robert Thomas Drive, Exton, PA 19341-2654 | 2006-06-13 |
| Find all providers in EXTON | ||||
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| 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.