Individual
DR. GARY E GOBERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
9804 S MILITARY TRL STE E7, BOYNTON BEACH, FL 33436-3220
(561) 738-5997
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2575
FL
152WP0200X
Pediatric Optometrist
2575
FL
152WS0006X
Sports Vision Optometrist
2575
FL
152WV0400X
Vision Therapy Optometrist
2575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078957700
—
FL
Enumeration date
08/30/2005
Last updated
09/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us