STEPHEN GOODWIN (NPI# 1952387490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952387490 |
| Entity Type | Individual |
| Full Name | STEPHEN GOODWIN |
| Credential | OPTICIAN |
| Practice Address |
1230 Amelia St Orangeburg SC 29115-5478 |
| Practice Telephone | 8035310061 |
| Practice Fax Number | 8035310095 |
| Mailing Telephone | 8035310061 |
| Mailing Fax Number | 8035310095 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
584 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DV5842 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043865272 | Stephen Chas Goodwin | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2019-08-05 |
| 1871521237 | Stephen C. Goodwin | Specialist | 37 Sandstone Cir, Jackson, TN 38305-2073 | 2006-06-28 |
| 1548251101 | Stephen Goodwin | Otolaryngology | 120 Meadowcrest St, Suite 200, Gretna, LA 70056-5255 | 2005-11-02 |
| Street Address |
1230 AMELIA ST |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115-5478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598009847 | Rebecca Vision LLC | Optometrist | 1230 Amelia St, Orangeburg, SC 29115-5478 | 2012-11-26 |
| 1134192081 | Stephen Powell | Optometrist | 1230 Amelia St, Orangeburg, SC 29115-5478 | 2006-02-10 |
| 1386620334 | Arnold Shapiro | Optometrist | 1230 Amelia St, Orangeburg, SC 29115-5478 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679772776 | Clifford Preston Sanders IIi | Technician/Technologist | 1336 Grove Park Dr, Orangeburg, SC 29115-2455 | 2007-07-17 |
| 1467547026 | Wal-mart Stores East, Lp | Technician/Technologist | 2795 North Road, Orangeburg, SC 29115 | 2006-10-03 |
| 1568630960 | Neal Hampton Higgins | Technician/Technologist | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332864 | Insight Optical | Technician/Technologist | 451 E Saint John St, Spartanburg, SC 29302-1623 | 2020-10-06 |
| 1093323289 | Benjamin Cade | Technician/Technologist | 404 Johnson St Ste A, Pickens, SC 29671-2479 | 2020-07-14 |
| 1891312427 | Cory Threatt | Technician/Technologist | 232 Cherry Rd S Ste 120, Rock Hill, SC 29732-3413 | 2020-06-30 |
| 1154955227 | My Optical | Technician/Technologist | 808 Highway 378, Lexington, SC 29072-8377 | 2020-02-27 |
| 1942763750 | Kristi Thompson | Technician/Technologist | 100 Pershing Ave Ste 1, Clemson, SC 29631-2193 | 2019-04-09 |
| 1144792243 | Jennifer Rauchut | Technician/Technologist | 310 Azalea Square Blvd Unit C, Summerville, SC 29483-7362 | 2018-12-30 |
| 1215446877 | National Vision, Inc. | Technician/Technologist | 702 Fairview Rd, Simpsonville, SC 29680-8156 | 2017-09-27 |
| 1629590864 | Grechia Stanley Devito | Technician/Technologist | 411 Commerce Dr Ne, Columbia, SC 29223-4583 | 2017-07-10 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1104374172 | Sams East, Inc | Technician/Technologist | 14 Bluffton Road, Bluffton, SC 29910-7621 | 2016-09-19 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
Please comment or provide details below to improve the information on STEPHEN GOODWIN.
| 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.