Dr. Stephanie R Goggin, OD

Optometrist in Edwardsville, IL. Individual provider (NPI-1).

NPI number1013965367

StatusActive

Last updated in NPPESDec 8, 2011

Details

NPI: 1013965367
Entity type: Individual (NPI-1)
Name: Dr. Stephanie R Goggin
Credential: OD
Sex: Female
Sole proprietor: No
Enumeration date: May 5, 2006
Last updated: Dec 8, 2011

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - OPTOMETRY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	046-009281	IL	Yes

Other names

Stephanie R Hart (Former Name)

Practice location

6620 Center Grove Road
Edwardsville, IL 62025-2802

Phone 618-659-1900 · Fax 618-659-1901

Mailing address

6620 Center Grove Rd
Suite 3
Edwardsville, IL 62025-2802

Phone 618-659-1900

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Edwardsville, IL

All 20 Optometrist providers in Edwardsville · All 899 providers in Edwardsville

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