Fred Elias Goldberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000055 Issued in VA

Practice address

1340 Old Chain Bridge Rd
Suite 102
McLean, VA 22101-3955

Phone

(703) 893-2020

Fax

(703) 893-4757

NPI assigned

Nov 29, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 DC

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visual Health Doctors of Optometry

  • Optometrist
  • Fairfax, VA
  • NPI 1811243769

  DC

  Medicare reassignment NPD
• Fred E. Goldberg O.D., F.a.a.O., PC

  • Optometrist
  • McLean, VA
  • NPI 1063606796
  NPD Authorized official
• Visual Health Doctors of Optometry

  • Corneal and Contact Management Optometrist
  • Arlington, VA
  • NPI 1265974000
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1871660571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013955",
            "telephone_number": "703-893-2020",
            "fax_number": "703-893-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 OLD CHAIN BRIDGE RD",
            "address_2": "SUITE 102",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013955",
            "telephone_number": "703-893-2020",
            "fax_number": "703-893-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "FRED",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Timothy Gocke, DDS
• Kristine Leuvelink Goddard, MASSAGE THERAPIST
• Emily Blair Goff, M. ED, LPC
• Janis W. Gold, LPC, LMFT
• Azadeh Pajoohesh Goldberg
• Nataliegoldberg A. Goldberg, LCSW
• Rebecca Adler Goldberg, M.S.W.
• Golden Angel Care LLC
• Christine Golden, PH.D.
• Lee Goldman, PH.D.

• Optometrist in McLean, VA
• Providers in McLean, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.