IndividualActive
Mahalia Goodman, EYE SPECIALIST
NPI 1275169088 · Optometric Technician · Fort Rucker, AL
Provider details
- NPI number
- 1275169088
- Entity type
- Individual
- Primary specialty
- Optometric TechnicianEye and Vision Services Providers
- Credential
- EYE SPECIALIST
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
301 Andrews Ave
Fort Rucker, AL 36362
Phone: (800) 261-7193
Fax: (334) 255-7710
Approximate (ZIP-level) locationGet directions
Mailing address
301 Andrews Ave
Fort Rucker, AL 36362
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2020-03-13
- Certified
- 2020-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.