Organization
FRED E. GOLDBERG O.D., F.A.A.O., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED E GOLDBERG O.D., F.A.A.O. (DOCTOR OF OPTOMETRY)
(703) 893-2020
Entity
Organization
Contact information
Practice address
1340 OLD CHAIN BRIDGE RD, SUITE 102, MC LEAN, VA 22101-3909
(703) 893-2020
(703) 893-4757
Mailing address
1340 OLD CHAIN BRIDGE RD, SUITE 102, MC LEAN, VA 22101-3909
(703) 893-2020
(703) 893-4757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0603000099
VA
Other
Enumeration date
09/06/2007
Last updated
01/21/2009
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