DR. SIDNEY BRENT GOODWIN (NPI# 1750541009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750541009 |
| Entity Type | Individual |
| Full Name | DR. SIDNEY BRENT GOODWIN |
| Credential | O.D. |
| Practice Address |
8455 Park Meadows Center Drive Lenscrafters At Macys Littleton CO 80124 |
| Mailing Address |
256 Red Deer Rd Franktown CO 80116 |
| Practice Telephone | 3037991364 |
| Practice Fax Number | 3037995857 |
| Mailing Telephone | (520) 591-3250 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OL039 | GU | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
3201 | CO | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 256 Red Deer Rd, Franktown, CO 80116 | 5205913250 |
| Street Address |
8455 PARK MEADOWS CENTER DRIVE LENSCRAFTERS AT MACYS |
| City | LITTLETON |
| State | CO |
| Zip Code | 80124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942280185 | Phillip L. Knapp | Optometrist | 11852 Shaffer Dr, Building M, Littleton, CO 80127-3764 | 2006-01-21 |
| 1235388026 | 3-d Vision PC | Optometrist | 8089 S Lincoln St, Suite 103, Littleton, CO 80122-2700 | 2008-09-16 |
| 1992954127 | Specs Appeal, Inc. | Optometrist | 6905 S Broadway, Suite 51, Littleton, CO 80122-8013 | 2008-09-11 |
| 1295810489 | Bowles Avenue Eye Care, Inc | Optometrist | 11852 Shaffer Dr, Building M, Littleton, CO 80127-3764 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033637046 | Alpenglow Eye Care, Pllc | Optometrist | 611 24 Rd, Grand Junction, CO 81505-1240 | 2017-08-30 |
| 1386014397 | Jeffrey B Holland Od PC | Optometrist | 1350 College Ave Unit 100, Boulder, CO 80302-7389 | 2015-10-02 |
| 1629353172 | Liz Erley | Optometrist | 3301 30th St, Boulder, CO 80301-1401 | 2011-10-17 |
| 1588860571 | Timothy L. Osius Jr. O.d. Inc. | Optometrist | 2980 Ginnala Dr., Suite A, Loveland, CO 80537-2701 | 2007-06-26 |
| 1194936401 | Ryan Thomas Smedley | Optometrist | 8405 Park Meadows Center Dr Ste 1000, Lone Tree, CO 80124-5025 | 2007-05-25 |
| 1891818316 | Superior Eye Care PC | Optometrist | 9948 W 99th Ave, Westminster, CO 80021-4298 | 2007-04-09 |
| 1639291107 | Johnna C Bontadelli | Optometrist | 917 Clydesdale Ln, Windsor, CO 80550-3135 | 2007-04-04 |
| 1164578373 | Nancy Barnard Smith | Optometrist | 1940 Greeley Mall # 27, Greeley, CO 80631-8520 | 2007-01-28 |
| 1154474187 | Kevin C. Pollard | Optometrist | 1516 Xavier St, Suite 101, Denver, CO 80204-1024 | 2007-01-21 |
| 1184794745 | Marc A Provencher | Optometrist | 4050 Timberline Rd, Suite 120, Fort Collins, CO 80525-6032 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
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| 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.