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Glen K Goodman, MD

Ophthalmology Physician in Waterbury, CT · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043218159

Verified

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Registry record

Entity type Individual (Type 1)
Name Glen K Goodman
Credential MD
Sex Male
Practice address 87 Grandview Ave, Waterbury, CT, 06708
Phone (203) 574-2020
Enumeration date Jul 12, 2005
Last updated in NPPES Nov 3, 2021

Taxonomy & licenses

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 46944 (MA) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 67111 (CT) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0177555 Medicaid MA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Glen Goodman practice?
The practice location on file with NPPES is in Waterbury, CT. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Glen Goodman?
The National Provider Identifier (NPI) for Glen Goodman is 1043218159, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-03.