Individual
DR. IRA GARY GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005281-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01558676
—
NY
01
—
113265536
UNITEDHEALTHCARE
NY
01
—
146056
VYTRA
NY
01
—
2146206
AETNA
NY
01
—
2160672
CIGNA
NY
01
—
37514P
HIP OF NEW YORK
NY
01
—
4C2296
HEALTHNET
NY
01
—
6500906
GHI
NY
01
—
C47481
EMPIRE BLUE CROSS BLUE SH
NY
01
—
P2077105
OXFORD
NY
Enumeration date
03/16/2007
Last updated
07/27/2012
Update your record
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