Susan Marie Goode (NPI# 1659427102, PAC ID# 1850547100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1659427102 |
| PAC ID by PECOS | 1850547100 |
| Professional Enrollment ID | I20120802000161 |
| Full Name | Susan Marie Goode |
| Organization Legal Name | ENVISION EYE CARE LLC |
| Address |
14413 Illinois Rd C Fort Wayne IN 46814-9714 |
| Phone Number | 2606160184 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3375711799 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14413 Illinois Rd C, Fort Wayne, IN 46814-9714 | 2606160184 | ENVISION EYE CARE LLC |
| Organization Legal Name | ENVISION EYE CARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Marie Mummert | Optometry | Envision Eye Care LLC | 14413 Illinois Rd C, Fort Wayne, IN 46814-9714 |
| Street Address |
14413 ILLINOIS RD C |
| City | FORT WAYNE |
| State | IN |
| Zip | 46814-9714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Marie Mummert | Optometry | Envision Eye Care LLC | 14413 Illinois Rd C, Fort Wayne, IN 46814-9714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Hollingsworth | Family Medicine | 3360 Riders Trl, Fort Wayne, IN 46814-0005 | |
| David Bruce Tribble | Family Medicine | Visiting Nurse and Hospice Home Inc | 5910 Homestead Rd, Fort Wayne, IN 46814-4202 |
| Ann M Moore | Geriatric Medicine | Visiting Nurse and Hospice Home Inc | 5910 Homestead Rd, Fort Wayne, IN 46814-4202 |
| Frederica A Nodine | Nurse Practitioner | Visiting Nurse and Hospice Home Inc | 5910 Homestead Rd, Fort Wayne, IN 46814-4202 |
| Mary R Wilger | Emergency Medicine | Visiting Nurse and Hospice Home Inc | 5910 Homestead Rd, Fort Wayne, IN 46814-4202 |
| Heather Marie Gick | Chiropractic | 7127 Homestead Rd E, Fort Wayne, IN 46814-4678 | |
| Stacy M Kosha | Occupational Therapy | Paxxon Healthcare Services LLC | 611 W County Line Rd S, Hearth At Sycamore Village, Ft Wayne, IN 46814-7592 |
| Tamara D Taylor | Physical Therapy | Paxxon Healthcare Services LLC | 611 W County Line Rd S, Hearth At Sycamore Village, Ft Wayne, IN 46814-7592 |
| Jennifer A Arnold | Qualified Speech Language Pathologist | Paxxon Healthcare Services LLC | 611 W County Line Rd S, Hearth At Sycamore Village, Ft Wayne, IN 46814-7592 |
| Lora S Gargarita | Physical Therapy | Paxxon Healthcare Services LLC | 611 W County Line Rd S, Hearth At Sycamore Village, Ft Wayne, IN 46814-7592 |
| Find all physicians in zip 46814 | |||
| City | FORT WAYNE |
| Zip Code | 46814 |
| Specialty | OPTOMETRY |
| City + Specialty | FORT WAYNE + OPTOMETRY |
Please comment or provide details below to improve the information on Susan Marie Goode.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.