KEVIN GOODWIN (NPI# 1740697408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740697408 |
| Entity Type | Individual |
| Full Name | KEVIN GOODWIN |
| Practice Address |
1050 Ogden Ave Montgomery IL 60538-5404 |
| Mailing Address |
653 W Briarcliff Rd Bolingbrook IL 60440-2630 |
| Practice Telephone | 6304491955 |
| Mailing Telephone | 6309080892 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046010826 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952763989 | Kevin Goodwin | Nurse Anesthetist, Certified Registered | 110 W 6th St, Oswego, NY 13126-2507 | 2016-03-29 |
| 1124448832 | Kevin James Goodwin | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2014-04-21 |
| Street Address |
1050 OGDEN AVE |
| City | MONTGOMERY |
| State | IL |
| Zip Code | 60538-5404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295152635 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2014-03-24 |
| 1720688856 | Donna Slas | Pharmacist | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2020-10-28 |
| 1275945255 | Sam's West, Inc | Technician/Technologist | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
| 1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
| 1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
| 1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
| 1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
| 1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
| 1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
| 1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
| 1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
| Find all providers in zip 60538 | ||||
| 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 |
|---|---|---|---|---|
| 1457997058 | Kristynik Eye Care Pllc | Optometrist | 791 Fish Creek Thoroughfare, Suite 50, Montgomery, TX 77316 | 2019-11-19 |
| 1992149884 | Marshall Eye Care | Optometrist | 241 N Court St Apt H, Montgomery, AL 36104 | 2013-04-22 |
| 1780945568 | Kendra S Mills | Optometrist | 909 Ann St, Montgomery, AL 36107-2001 | 2012-06-07 |
| 1750612149 | Holman Optometrics LLC | Optometrist | 8925 Cotswold Ct, Montgomery, AL 36117-8455 | 2010-01-25 |
| 1962735191 | Michael Brandon Mull | Optometrist | 2080 Berryhill Road, Montgomery, AL 36117 | 2009-09-04 |
| 1881855229 | D & K Eyewear | Optometrist | 2567 Bell Road, Montgomery, AL 36117-4369 | 2008-06-18 |
| 1770755316 | Drs. Nguyen Prof. Corp. | Optometrist | 6520 Atlanta Hwy, Montgomery, AL 36117-4245 | 2008-03-24 |
| 1912187402 | Innovative Vision LLC | Optometrist | 9797 Montgomery Rd, Montgomery, OH 45242-7247 | 2007-11-13 |
| 1841487238 | Sarah Susan Helgeson | Optometrist | 2294 State Route 208 # 7, Montgomery, NY 12549-2217 | 2007-09-28 |
| 1508078262 | Rodney Dion Taylor | Optometrist | 1222 Madison Ave, Montgomery, AL 36107-1830 | 2007-05-04 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 60538 |
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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.