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

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: August 02, 2026.

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
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

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1110 EASTDALE MALL
MONTGOMERY, AL 36117
Eyewear Supplier
1110 EASTDALE MALL
MONTGOMERY, AL 36117

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.

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.