# GARY E GOBERVILLE OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eye Site Vision Center Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780830422
- **Authorized official:** DR. GARY E GOBERVILLE OD (OPTOMETRIST OWNER)
- **Authorized official phone:** (954) 344-3937

## Contact information

- **Practice address:** 2344 N UNIVERSITY DR, CORAL SPRINGS, FL 33065-5122
- **Practice address phone:** (954) 344-3937
- **Practice address fax:** (954) 344-2434
- **Mailing address:** 2920 NE 47TH ST, LIGHTHOUSE POINT, FL 33064-7136
- **Mailing address phone:** (954) 783-0721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2575 | FL | Yes |

## Other

- **Enumeration date:** 08/13/2008
- **Last updated:** 08/13/2008