National Provider Identifier Database

KEVIN L GOODHUE JR, OD – NPI #1730459686
Optometrist

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.


Contact Information

KEVIN L GOODHUE JR, OD
730 SOUTH ORANGE BLOSSOM TRAIL
APOPKA, FL32703
Phone: 407-880-0335
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KEVIN L GOODHUE JR

NPI Number 1730459686
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/10/2012
Last updated 11/07/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: OPC4705
  • SC License #: 1677
  • FL Medicaid: 009942600
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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