Fred E. Goldberg O.D., F.a.a.O., PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0603000099 Issued in VA

Legal business name

FRED E. GOLDBERG O.D., F.A.A.O., PC

Practice address

1340 Old Chain Bridge Rd
Suite 102
MC Lean, VA 22101-3909

Phone

(703) 893-2020

Fax

(703) 893-4757

NPI assigned

Sep 6, 2007

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fred E Goldberg, O.D., F.A.A.O.NPI 1871660571

Title

Doctor of Optometry

Phone

(703) 893-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fred Elias Goldberg, O.D.

  • Optometrist
  • McLean, VA
  • NPI 1871660571
  NPD Authorized official
• Edie Cheung, O.D.

  • Optometrist
  • McLean, VA
  • NPI 1568657047
  NPD (past)
• Paul Minh Duc Luong, OD

  • Optometrist
  • McLean, VA
  • NPI 1518852227
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1063606796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013909",
            "telephone_number": "703-893-2020",
            "fax_number": "703-893-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013909",
            "telephone_number": "703-893-2020",
            "fax_number": "703-893-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED E. GOLDBERG O.D., F.A.A.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "703-893-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., F.A.A.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Arnold Ford, PH.D.
• Eric A Foretich, D.D.S., M.A.
• Philip Forsythe, DPT
• Adam Foster, DPT, PT
• Majid Fotuhi, M.D., PHD
• Fred F Farahi,DDS,PC
• Jennifer Fredette, MA, M.DIV
• Mayo F Friedlis, MD
• Rachel Elizabeth Frietchen
• Lawrence Addo Frimpong

• Optometrist in McLean, VA
• Providers in McLean, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.