NPI 1659723930 · live from the CMS NPI Registry
Laura Ann Goldberg, O.D.
Optometrist in Wilmington, DE. National Provider Identifier 1659723930, active.
NPI record
| NPI | 1659723930 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1601 Kirkwood Hwy, Wilmington, DE 19805 |
| Practice phone | 908-627-1116 |
| Mailing address | 6201 Greenleigh Ave Fl 2, Middle River, MD 21220 |
| Enumerated | July 11, 2016 |
| Last updated | August 28, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | OEG003185 (PA) |
| Optometrist primary | 152W00000X | TA2719 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.