MR. KIP MCGOODEN R.D.O. NPI 1114089943

NPI Information

  • NPI: 1114089943
  • Provider Name: MR. KIP MCGOODEN, R.D.O.
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 783 RIO DEL MAR BLVD STE 37
    APTOS, CA
    ZIP 95003
  • Phone: (831) 688-1516

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NPI Details

MR. Kip Mcgooden, R.D.O. is an optician technician technologist in Aptos, CA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MR. Kip Mcgooden, R.D.O. NPI is 1114089943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

783 RIO DEL MAR BLVD STE 37
APTOS, CA
ZIP 95003-700
Phone: (831) 688-1516

The enumeration date for this NPI number is 12/15/2006 and was last updated on 8/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician2717CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10272160002MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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