NPI 1659484004 · live from the CMS NPI Registry
Joseph G. Goldberg O.D.
Optometrist in Wilmington, DE. National Provider Identifier 1659484004, active.
NPI record
| NPI | 1659484004 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 801 E Newport Pike, Wilmington, DE 19804 |
| Practice phone | 302-999-1286 |
| Enumerated | August 17, 2006 |
| Last updated | December 17, 2007 |
| Authorized official | Joseph Goldberg, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | I3-0001134 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.