Goberville, Gary E
Goberville, Gary E is an sole proprietor health care provider with primary practice located at 2344 N. University Dr , Coral Springs FL 33065-5126. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Goberville, Gary E can be contacted via phone (954) 344-3937.Contact Information
Primary practice address
2344 N. University Dr
Coral Springs FL 33065-5126
Phone: (954) 344-3937
Fax: (954) 344-2434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2575 | Florida |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 2575 | Florida |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2575 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2575 | Florida |
Profile Details
| NPI number | 1346233780 |
|---|---|
| LBN Legal business name | Goberville, Gary E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Sep 7th, 2016 - about 8 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 | 1346233780 | NPPES |
| Florida | MEDICAID | 078957700 |
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