Individual
MISS ANNA GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9851 S 71ST PLZ, PAPILLION, NE 68133-2244
(402) 686-2396
Mailing address
1039 S 106TH PLZ, APT 404, OMAHA, NE 68114-4784
(847) 722-0531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010577
IL
152W00000X
Optometrist
Primary
1433
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12414393
CAQH
NE
Enumeration date
07/11/2012
Last updated
07/14/2015
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