Dr. Lila Anne Goodwin, O. D.

Optometrist in Ellicott City, MD. Individual provider (NPI-1).

NPI number1669483301

StatusActive

Last updated in NPPESJan 30, 2018

Details

NPI: 1669483301
Entity type: Individual (NPI-1)
Name: Dr. Lila Anne Goodwin
Credential: O. D.
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 10, 2006
Last updated: Jan 30, 2018

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	TA2210	MD	Yes

Other names

Lila Anne Milland-Cantrell (Former Name)

Practice location

10050 Baltimore National Pike
Ellicott City, MD 21042-3501

Phone 410-461-2020 · Fax 410-461-2387

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Phone 703-847-8899 · Fax 866-795-4020

Other practice locations

2400 Five Lees Lane
Optical Department
Lanham, MD 20706

Phone 301-341-6753 · Fax 301-341-6754

Is something wrong?

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Other Optometrist providers in Ellicott City, MD

All 23 Optometrist providers in Ellicott City · All 2,306 providers in Ellicott City

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