Lawrence Goldberg, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD0035408 Issued in FL

Practice address

6950 Central Ave
St Petersburg, FL 33707-1210

Phone

(727) 343-3004

Fax

(727) 343-9521

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lgoldberg@eapinellas.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeast Eye Institute, PA

  • Ophthalmology Physician
  • Pinellas Park, FL
  • NPI 1073625331
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1114931599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 KIPPS COLONY CT APT 304",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073983",
            "telephone_number": "727-343-3004",
            "fax_number": "727-343-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071210",
            "telephone_number": "727-343-3004",
            "fax_number": "727-343-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "MD0035408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066311500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymie Gauchet Gogolen, RN
• Golbarg D. Smith DMD PA
• Gold Gorilla Pharmacy LLC
• Alison Schachtel Goldberg, MD
• Lauren Goldberg
• Golden Life Alf LLC
• Faye Jessica-Maurine Golden, D.C.
• Terence Liam Golden, D.C.
• Neil Goldenberg, MD
• Talia Goldenberg, CRNA

• Ophthalmology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.