Fishberg, Gary Martin
Fishberg, Gary Martin is an sole proprietor health care provider with primary practice located at 5225 Canyon Crest Dr Ste 201 , Riverside CA 92507-6323. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Fishberg, Gary Martin can be contacted via phone (951) 788-2020.Contact Information
Primary practice address
5225 Canyon Crest Dr Ste 201
Riverside CA 92507-6323
Phone: (951) 788-2020
Fax: (951) 684-2020
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 6656 | California |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 6656T | California |
Profile Details
NPI number | 1891837852 |
---|---|
LBN Legal business name | Fishberg, Gary Martin |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 13th, 2007 |
Last updated | Feb 12th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891837852 | NPPES |
California | MEDICAID | SD0066562 |
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