Gottlieb Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GOTTLIEB OPTOMETRY CORPORATION

Practice address

322 Lakewood Center Mall
Lakewood, CA 90712-2409

Phone

(562) 630-2020

Fax

(562) 633-7220

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Donald Samuel Gottlieb, OD

Title

President

Phone

(714) 454-9888

Specialties & licenses 1

Addresses

Other names 1

• GottVision Doing business as

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1568137669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 LAKEWOOD CENTER MALL",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122409",
            "telephone_number": "562-630-2020",
            "fax_number": "562-633-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAKEWOOD CENTER MALL",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122409",
            "telephone_number": "562-630-2020",
            "fax_number": "562-633-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTTLIEB OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-454-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GottVision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert K Goodis, D.D.S.
• Kelsey Goodman, APRN, FNP-C
• Bria Gordon
• Marvin Isaac Gordon, M.D
• Scott A Gordon, MD
• Donald Samuel Gottlieb, O.D.
• Larry Jay Gottlieb, O.D
• Robert Gottlieb, M.D.
• Amy Gould
• Shobha B Govind, MD

• Optometrist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.