Organization Name: | WAYNE GOLDBERG, O.D., P.C. |
NPI Number: | 1750559662 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE GOLDBERG (OWNER) |
Mailing Address: | 282 Sunrise Hwy Rockville Centre |
State: | NY US |
Postal Code: | 115704906 |
Phone Number: | 5166786313 |
Fax Number: | 5166788617 |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 01/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | TUV002747-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |