MEDICARE: OPHTHALMOLOGY WITH DR GOODRICH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician

General Provider Information

NPI Number	:	1306784335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPHTHALMOLOGY WITH DR GOODRICH PLLC

Provider Business Mailing Address
First Line	:	7200 WYOMING SPRINGS DR STE 100
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4304
Country	:	US
Telephone Number	:	737-263-5554
Fax Number	:	737-263-5557

Provider Business Practice Location Address
First Line	:	7200 WYOMING SPRINGS DR STE 100
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4304
Country	:	US
Telephone Number	:	737-263-5554
Fax Number	:	737-263-5557

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	CLIFFORD JACK GOODRICH
Credential	:	MD
Telephone Number	:	737-263-5554

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	05/06/2026

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