Provider Type Icon

R THAD GOODWIN MD PA NPI 1285813410


NPI Information

NPI: 1285813410
Provider Name: R THAD GOODWIN MD PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1510 ROYAL PALM SQUARE BLVD
STE 106
FORT MYERS, FL
ZIP 33919
Phone: (239) 939-3937
Get Directions

R THAD GOODWIN MD PA is an ophthalmology in Fort Myers, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. R THAD GOODWIN MD PA NPI is 1285813410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1510 ROYAL PALM SQUARE BLVD
STE 106
FORT MYERS, FL
ZIP 33919-068
Phone: (239) 939-3937
Fax: (239) 275-8045

The provider's authorized official is Robin Thad Goodwin .
The authorized official title is President and has the following contact phone number (239) 939-3937.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 10/4/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyME0037950FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D54488MEDICARE UPIN
2042931700MEDICAIDFLORIDA
3K5159MEDICARE PIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.