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PHILLLIP GOODMAN
NPI 1760072896
Technician/Technologist - Optician in Waterloo, NY

Active since January 22, 2021
204 MAIN STREET SHOP CTR, WATERLOO, NY 13165(315) 539-1209 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philllip Goodman NPPES

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

PHILLLIP GOODMAN (NPI 1760072896) is an individual optician in Waterloo, New York, licensed in New York (010346) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1760072896
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NamePHILLLIP GOODMAN
Location Address204 MAIN STREET SHOP CTRWaterloo, NY 13165-1454
Mailing Address204 Main Street Shop CentreWaterloo, NY 13165 · (315) 329-1904
Phone(315) 539-1209
Sole ProprietorYes
Enumeration DateJanuary 22, 2021
NPPES CertifiedJanuary 22, 2021
✔ NPI 1760072896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in NY · 010346
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
204 MAIN STREET SHOP CTR, Waterloo, NY 13165
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Other Providers at the Same Location NPPES 3

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

WATERLOO OPHTHALMIC DISPENSING, PC
Eyewear Supplier
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165
Seneca County (315) 539-1209
ANDREW P SMITH, OD
Optometrist
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165
Seneca County (315) 539-9160
MR. DANIEL GOODMAN OPTICIAN
Technician/Technologist (Optician)
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165
Seneca County (315) 539-1209

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 Philllip Goodman's NPI number?

The NPI number for Philllip Goodman is 1760072896. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Philllip Goodman located?

Philllip Goodman practices at 204 Main Street Shop Ctr, Waterloo, NY 13165. The listed phone number is (315) 539-1209.

What is Philllip Goodman's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Philllip Goodman was last updated on January 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.