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RAYMOND C. GOODMAN, O.D., P.A.

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Company Details

Name: RAYMOND C. GOODMAN, O.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 05 Mar 2003 (22 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 450504
Place of Formation: IDAHO
File Number: 450504
ZIP code: 83330
County: Gooding County
Mailing Address: 317 MAIN ST GOODING, ID 83330-1302

Agent

Name Role Address
RAYMOND C GOODMAN Agent 317 MAIN ST, GOODING, ID 83330

President

Name Role Address Appointed On
Raymond Goodman President 317 MAIN ST., GOODING, ID 83330 2021-02-03

National Provider Identifier

NPI Number:
1619000940

Authorized Person:

Name:
DR. RAYMOND CLYDE GOODMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2089345818

Filing

Filing Name Filing Number Filing date
Annual Report 0006090504 2025-02-03
Annual Report 0005584283 2024-02-05
Annual Report 0005102507 2023-02-08
Annual Report 0004590414 2022-02-03
Annual Report 0004152345 2021-02-03

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State