Individual
DR. JILL MEREDITH GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4363 HIGHLAND RD, WATERFORD, MI 48328-2141
(248) 674-4065
(248) 673-4428
Mailing address
4363 HIGHLAND RD, WATERFORD, MI 48328-2141
(248) 674-4065
(248) 673-4428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005164
MI
152WC0802X
Corneal and Contact Management Optometrist
4901005164
MI
Other
Enumeration date
10/10/2018
Last updated
04/23/2021
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