# DR. GARY E GOBERVILLE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346233780
- **Gender:** Man
- **Credential:** O.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2575 | FL | Yes |
| 152WP0200X | Pediatric Optometrist | 2575 | FL | — |
| 152WS0006X | Sports Vision Optometrist | 2575 | FL | — |
| 152WV0400X | Vision Therapy Optometrist | 2575 | FL | — |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 09/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078957700 | — | FL |