Provider Demographics
NPI:1790424067
Name:GOODMAN, ARIEL LYNNE (OD)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:LYNNE
Last Name:GOODMAN
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Gender:F
Credentials:OD
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:3412 W CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-4624
Practice Address - Country:US
Practice Address - Phone:269-329-5860
Practice Address - Fax:269-329-5865
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2025-08-20
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Provider Licenses
StateLicense IDTaxonomies
MI4901005644152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist