Gary E Goberville OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2575 Issued in FL

Legal business name

GARY E GOBERVILLE OD PA

Doing business as

Eye Site Vision Center Inc

Practice address

2344 N University Dr
Coral Springs, FL 33065-5122

Phone

(954) 344-3937

Fax

(954) 344-2434

NPI assigned

Aug 13, 2008

Last updated

Aug 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary E Goberville, ODNPI 1346233780

Title

Optometrist Owner

Phone

(954) 344-3937

Specialties & licenses 1

Addresses

Other names 1

• Eye Site Vision Center Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary E Goberville, O.D

  • Optometrist
  • Boynton Beach, FL
  • NPI 1346233780
  NPD Authorized official

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1780830422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 NE 47TH ST",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647136",
            "telephone_number": "954-783-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655122",
            "telephone_number": "954-344-3937",
            "fax_number": "954-344-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY E GOBERVILLE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "GOBERVILLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "954-344-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Site Vision Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrett Pediatrics, P.a.
• Kendis Garrett, MD
• Sasha Garrido Rojas, B.A. SLP-A
• Kristen Garrido
• Melissa Gart, LCSW
• Lissette Garzon, MH
• Cristina Gastesi
• Gastro Health, LLC
• Gastro Health, LLC
• Gastrocare LLP (Digestive Care Pharmacy)

• Optometrist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.