MAHALIA LEONTINE GOODMAN


Address: 301 Andrews Ave, Fort Rucker, AL 36362
Phone: 8002617193

MAHALIA LEONTINE GOODMAN (NPI# 1275169088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275169088
Entity Type Individual
Full Name MAHALIA LEONTINE GOODMAN
Credential EYE SPECIALIST
Practice Address 301 Andrews Ave
Fort Rucker
AL 36362
Practice Telephone 8002617193
Practice Fax Number 3342557710
Mailing Telephone 8002617193
Mailing Fax Number 3342557710
Enumeration Date 2020-03-13
Last Update Date 2020-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1202X Technician/Technologist
Specialization: Optometric Technician
Eye and Vision Services Providers

Office Location

Street Address 301 ANDREWS AVE
City FORT RUCKER
State AL
Zip Code 36362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407845589 Craig Brian Collier Preventive Medicine 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362 2005-10-20
1225638059 Mary Sue Mercer Licensed Practical Nurse 301 Andrews Ave, Fort Rucker, AL 36362 2020-10-30
1619577673 Reagan Alanee Jacobs Licensed Practical Nurse 301 Andrews Ave, Fort Rucker, AL 36362 2020-10-29
1417556424 Edwin Brint Hollis Physical Medicine & Rehabilitation 301 Andrews Ave, Fort Rucker, AL 36362 2020-10-21
1134746506 Daniel William Jones Physical Therapy Assistant 301 Andrews Ave, Fort Rucker, AL 36362 2020-07-01
1801429493 Debra D Davis Licensed Practical Nurse 301 Andrews Ave, Fort Rucker, AL 36362 2020-02-21
1669004131 Shelby C Davis Licensed Practical Nurse 301 Andrews Ave, Fort Rucker, AL 36362-5333 2020-02-12
1407488067 Bethany Neve Registered Nurse 301 Andrews Ave, Fort Rucker, AL 36362-5333 2020-02-11
1851923601 Kevin Charles Ottiano Emergency Medical Technician, Basic 301 Andrews Ave, Fort Rucker, AL 36362 2020-02-10
1801426143 Mason Webb Sauerwein Technician, Other 301 Andrews Ave, Fort Rucker, AL 36362 2020-01-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235745571 Rachel Kestler Specialist 4102 Gadiator Street, Fort Rucker, AL 36362 2020-09-22
1417589268 Jacob Michael Lezon Emergency Medical Technician, Basic 30501 Nevins St., Ft. Rucker, AL 36362 2020-02-10
1225535388 Rhonda Lewis Wesolek Dental Hygienist Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 2018-04-06
1770013369 National Vision, Inc. Technician/Technologist Bldg 9214, Fort Rucker, AL 36362 2017-06-15
1750730958 Teresa Morgan Knighten Dental Hygienist 4405 Innkeepers St, Fort Rucker, AL 36362 2016-06-08
1568826246 David Virgil II Technician, Other 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 2016-04-08
1356771257 Robert E Smith Emergency Medical Technician, Intermediate Blding 301 Andrew Ave, Ft Rucker, AL 36362 2013-11-14
1548503469 Lindsey Taylor Mendenhall Emergency Medical Technician, Basic Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 2013-03-28
1689913808 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Fort Rucker Bldg. 9214, Daleville, AL 36362 2013-02-07
1275880205 Sandra Lynn Griffin Banner Optometrist 33 Endl Ave, Fort Rucker, AL 36362 2012-08-09
Find all providers in zip 36362

Taxonomy Information

Taxonomy Code 156FX1202X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optometric Technician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174001861 Eric Rhodes II Technician/Technologist Lyster Army Health Cinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 2018-08-03
1861956823 Katherine Lambeth Technician/Technologist Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 2019-01-24
1356871206 Shandy Danielle Hoeffer Technician/Technologist Building 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-06-14
1720449473 Danielle Van Winkle Technician/Technologist Bldg 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2016-03-09
1225412026 Amanda Taylor Technician/Technologist Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2015-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609810407 Jennifer Mcwhorter Elgin Technician/Technologist 619 19th Street South, Birmingham, AL 35233 2006-06-15

Competitor

Search similar providers

City FORT RUCKER
Zip Code 36362

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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