Wayne Goldman

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

DO3856 Issued in FL

Practice address

12960 West State Road 84
Davie, FL 33325

Phone

(954) 424-3130

Fax

(954) 835-2442

NPI assigned

Oct 28, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1629440870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12960 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253306",
            "telephone_number": "954-424-3130",
            "fax_number": "954-835-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12960 WEST STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33325",
            "telephone_number": "954-424-3130",
            "fax_number": "954-835-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "FL",
            "license": "DO3856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yana Gofman, YANA GOFMAN, DO
• Marvin Bennett Golberg, D.D.S.
• Gold Standard Therapeutics, LLC
• David E Golden, DPM
• Kathryn Elizabeth Goldman, M.S., CCC-SLP
• Elias Goldstein, D.C.
• Florencia Goluboff, MD
• Yaneli Gomero, RBT
• Paola Gomez Diaz, PHD, LMHC
• Emirzay De Jesus Gomez Garrido

• Ophthalmic Technician/Technologist in Davie, FL
• Providers in Davie, FL by specialty
• Ophthalmic Technician/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.