NPI 1417935511 · live from the CMS NPI Registry
John M Gooch, M.D.
Ophthalmology in The Villages, FL. National Provider Identifier 1417935511, active.
NPI record
| NPI | 1417935511 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2955 Brownwood Blvd Ste 303, The Villages, FL 32163 |
| Practice phone | 352-350-8484 |
| Mailing address | 43309 Us Highway 19 N, Tarpon Springs, FL 34689 |
| Enumerated | January 9, 2006 |
| Last updated | April 11, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 30264 (KY) |
| Ophthalmology primary | 207W00000X | ME123220 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.