Kevin D Goodwin (NPI# 1740697408, PAC ID# 5193061836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1740697408 |
| PAC ID by PECOS | 5193061836 |
| Professional Enrollment ID | I20190116003037 |
| Full Name | Kevin D Goodwin |
| Organization Legal Name | TYLER RIDGE VISION CARE, S.C. |
| Address |
1001 E Main St C St Charles IL 60174-2203 |
| Phone Number | 6305841111 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0042289183 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1001 E Main St C, St Charles, IL 60174-2203 | 6305841111 | TYLER RIDGE VISION CARE, S.C. |
| Organization Legal Name | TYLER RIDGE VISION CARE, S.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Aaron Yuvan | Optometry | Tyler Ridge Vision Care, S.c. | 1001 E Main St C, St Charles, IL 60174-2203 |
| Mark Wayne Kramer | Optometry | Tyler Ridge Vision Care, S.c. | 1001 E Main St C, St Charles, IL 60174-2203 |
| Street Address |
1001 E MAIN ST C |
| City | ST CHARLES |
| State | IL |
| Zip | 60174-2203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Aaron Yuvan | Optometry | Tyler Ridge Vision Care, S.c. | 1001 E Main St C, St Charles, IL 60174-2203 |
| Mark Wayne Kramer | Optometry | Tyler Ridge Vision Care, S.c. | 1001 E Main St C, St Charles, IL 60174-2203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Cassion Roble | Internal Medicine | David C. Roble, Mdsc | 960 N 5th Ave B, St Charles, IL 60174-1205 |
| Susan L Sacks | Qualified Audiologist | 960 N 5th Ave, St Charles, IL 60174-1205 | |
| Neal Ross Bowen | Psychologist, Clinical | Axiscare Neuropsychology LLC | 2580 Foxfield, Suite 4, St Charles, IL 60174-1403 |
| Catherine S Thomas | Internal Medicine | Central Dupage Physician Group | 2570 Foxfield Rd, St Charles, IL 60174-1406 |
| Huma Chaudhry | Registered Dietitian Or Nutrition Professional | Phc of Buffalo Grove Nutrition | 2570 Foxfield Rd, Suite 107, St Charles, IL 60174-1406 |
| Sandra Kurby | Registered Dietitian Or Nutrition Professional | Phc of Buffalo Grove Nutrition | 2570 Foxfield Rd, Suite 107, St Charles, IL 60174-1406 |
| Shareen Hurani | Chiropractic | 2580 Foxfield Rd, Suite 202, Saint Charles, IL 60174-1409 | |
| Nancy R Krtek | Clinical Social Worker | 473 Dunham Rd, Suite 216, St Charles, IL 60174-1423 | |
| Erin J Cluts | Clinical Social Worker | Dunham Counseling Center, Ltd. | 451 Dunham Rd, Suite 400, St Charles, IL 60174-1431 |
| John D Carney | Clinical Social Worker | Dunham Counseling Center, Ltd. | 451 Dunham Rd, Suite 400, St Charles, IL 60174-1431 |
| Find all physicians in zip 60174 | |||
| City | ST CHARLES |
| Zip Code | 60174 |
| Specialty | OPTOMETRY |
| City + Specialty | ST CHARLES + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.