R CHARLES GOODMAN, JR, OD, LLC
NPI 1609266030
Optometrist in Montgomery, AL

Q: What is R Charles Goodman, Jr, Od, LLC's NPI number?

The NPI number for R Charles Goodman, Jr, Od, LLC is 1609266030. It was assigned to this organization in the NPPES registry on January 23, 2015.

Q: What is R Charles Goodman, Jr, Od, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 23, 2015

1110 EASTDALE MALL, MONTGOMERY, AL 36117(334) 272-4722(334) 272-5096 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About R Charles Goodman, Jr, Od, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R CHARLES GOODMAN, JR, OD, LLC (NPI 1609266030) is a healthcare organization registered as an optometrist in Montgomery, Alabama and active in the NPI registry since January 2015. The organization lists Roy C Goodman, Member, as its authorized official.

NPPES Registry Identity

NPI1609266030

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameR CHARLES GOODMAN, JR, OD, LLC

Location Address1110 EASTDALE MALLMontgomery, AL 36117-2144

Mailing Address1110 Eastdale MallMontgomery, AL 36117-2144 · (334) 272-4722 · Fax (334) 272-5096

Phone(334) 272-4722

Fax(334) 272-5096

Organization SubpartNo

Authorized OfficialRoy C GoodmanMember · (334) 750-3831

Enumeration DateJanuary 23, 2015

✔ NPI 1609266030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AL · S729-TA155

Definition

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.

1110 EASTDALE MALL, Montgomery, AL 36117

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Other Identifiers 3

Medicare PIN000058324AL

Medicare UPINU19422AL

Medicaid143416AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

R Charles Goodman, Jr, Od, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to R Charles Goodman, Jr, Od, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roy Goodman, O.D.

Optometry

NPI 1265428353

1110 EASTDALE MALL
Montgomery, AL 36117

(334) 272-4722

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Charles Goodman, Jr, Od, LLC's NPI number?

The NPI number for R Charles Goodman, Jr, Od, LLC is 1609266030. It was assigned to this organization in the NPPES registry on January 23, 2015.

Where is R Charles Goodman, Jr, Od, LLC located?

R Charles Goodman, Jr, Od, LLC is located at 1110 Eastdale Mall, Montgomery, AL 36117. The listed phone number is (334) 272-4722.

What is R Charles Goodman, Jr, Od, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is R Charles Goodman, Jr, Od, LLC enrolled in Medicare?

Yes. R Charles Goodman, Jr, Od, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through R Charles Goodman, Jr, Od, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to R Charles Goodman, Jr, Od, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for R Charles Goodman, Jr, Od, LLC was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.