Scott Goldberg, O.D.,M.A.,F.A.A.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000367 Issued in PA

Practice address

828 Fayette St
Conshohocken, PA 19428-1709

Phone

(610) 828-9701

Fax

(610) 828-4157

NPI assigned

Sep 14, 2005

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.goldberg@directaddress.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.

• Doctor of Eyeballs, LLC

  • Optometrist
  • Conshohocken, PA
  • NPI 1467860155
  Medicare reassignment NPD
• Surgical Eye Care LTD

  • Ophthalmology Physician
  • Wayne, PA
  • NPI 1841204757
  Medicare reassignment NPD

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1720073919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 FAYETTE ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281709",
            "telephone_number": "610-828-9701",
            "fax_number": "610-828-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 FAYETTE ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281709",
            "telephone_number": "610-828-9701",
            "fax_number": "610-828-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "SCOTT",
        "credential": "O.D.,M.A.,F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Giusini, BCBA
• Tanya Glenn-Butler
• Timothy William Godman
• Hillary Goetze, CRNP
• Heather Nicole Goldberg, DC
• McKenzie Golden, M.S., LPC
• Jill Marie Gonzalo, BSPH
• Good Shepherd Penn Partners Penn Specialty Hospital
• Thomas Antonio Goode
• Laura Ann Gordon, MACC

• Optometrist in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.