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General NPI Number Information
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NPI Number | 1013873116
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Entity Type | Organization
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Legal Business Name | OPHTHALMOLOGY WITH DR. GOODRICH, PLLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 7200 WYOMING SPRINGS DR STE 100
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City | ROUND ROCK
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State | TX
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Zip | 78681-4304
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Country | US
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Telephone | 314-740-6142
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 WYOMING SPRINGS DR STE 100
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City | ROUND ROCK
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State | TX
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Zip | 78681-4304
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | CLIFFORD J GOODRICH
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Credential | MD
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Telephone | 314-740-9142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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