NPI 1548006232 · live from the CMS NPI Registry
Emily P Goodheart, OD
Optometrist in Portland, ME. National Provider Identifier 1548006232, active.
NPI record
| NPI | 1548006232 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 141 W Commercial St, Portland, ME 04102 |
| Practice phone | 877-421-8263 |
| Mailing address | 37 Casco St Apt 505, Portland, ME 04101 |
| Enumerated | July 2, 2024 |
| Last updated | November 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT1083 (ME) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.