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Physician Compare National (NPI:1205927761)

HEALTHCARE PROVIDER: DENNIS D GOLDEN SR. OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1205927761
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1557416989
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090908000432
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name GOLDEN
Individual professional last name
Provider First Name DENNIS
Individual professional first name
Provider Middle Name DENNIS
Individual professional middle name
Provider Name Suffix Text SR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1978
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 105 COTTAGE RD
Group Practice or individual's line 1 address
City CARTHAGE
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 756331507
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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