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Philllip Goodman
NPI 1760072896 · Optician · Waterloo, NY
Philllip Goodman is a Optician provider in Waterloo, NY (NPI 1760072896).
Provider details
- NPI number
- 1760072896
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 010346 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
204 Main Street Shop Ctr
Waterloo, NY 13165-1454
Phone: (315) 539-1209
Approximate (ZIP-level) locationGet directions
Mailing address
204 Main Street Shop Centre
Waterloo, NY 13165
Registry dates
- Enumerated
- 2021-01-22
- Last updated
- 2021-01-22
- Certified
- 2021-01-22
Frequently asked questions
- What is Philllip Goodman's NPI number?
- Philllip Goodman's National Provider Identifier (NPI) is 1760072896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philllip Goodman's specialty?
- Philllip Goodman is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Philllip Goodman located?
- Philllip Goodman's practice location on file with NPPES is 204 Main Street Shop Ctr, Waterloo, NY 13165-1454.
- What is Philllip Goodman's phone number?
- The practice phone number listed in the NPPES registry for Philllip Goodman is (315) 539-1209.
- Is Philllip Goodman's NPI active?
- Yes — Philllip Goodman's NPI (1760072896) is active in the NPPES registry as of the last update on 2021-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.