Bruce Goodman, OD Valid NPI

Individual provider · Optometrist · Forestville, MD

NPI

1730122409

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

TA0653 (MD)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-13

Last updated

2018-01-30