Active NPI
Zecharya Goldenberg
- Optician
- Pikesville, MD
National Provider Identifier
1205411709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 305 Reisterstown Rd
Pikesville, MD 21208-5313 - Phone
- (410) 406-7951
- Fax
- (443) 648-9001
- NPI assigned
- Mar 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
305 Reisterstown Rd
Pikesville, MD 21208-5313
Mailing address
305 Reisterstown Rd
Pikesville, MD 21208-5313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chippewa Optical LLC | Optician | Current | Accepting new patients |
Locations
305 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 406-7951
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1205411709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 REISTERSTOWN RD",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212085313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 REISTERSTOWN RD",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212085313",
"telephone_number": "410-406-7951",
"fax_number": "443-648-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "ZECHARYA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.