Organization
DAVID M. GOLDBERG, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M GOLDBERG O.D. (OWNER/DOCTOR)
(703) 750-1585
Entity
Organization
Contact information
Practice address
6301 LITTLE RIVER TPKE, SUITE 110, ALEXANDRIA, VA 22312-5044
(703) 750-1585
(703) 750-1587
Mailing address
6301 LITTLE RIVER TPKE, SUITE 110, ALEXANDRIA, VA 22312-5044
(703) 750-1585
(703) 750-1587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000054
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010023238
—
VA
01
—
2028250
AETNA
VA
01
—
242447
MAMSI/UNITED HEALTHCARE
—
01
—
43671
DAVIS VISION
VA
01
—
VA0863
EYEMED
VA
Enumeration date
05/27/2009
Last updated
10/31/2011
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