David M. Goldberg, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000054 Issued in VA

Legal business name

DAVID M. GOLDBERG, O.D., P.C.

Practice address

6301 Little River Tpke
Suite 110
Alexandria, VA 22312-5044

Phone

(703) 750-1585

Fax

(703) 750-1587

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

David M Goldberg, O.D.NPI 1942212428

Title

Owner/Doctor

Phone

(703) 750-1585

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Mitchell Goldberg, OD

  • Optometrist
  • Alexandria, VA
  • NPI 1942212428

  DC, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Robert William Stetekluh, O.D.

  • Optometrist
  • Arlington, VA
  • NPI 1164576005

  DC, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1932334497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 LITTLE RIVER TPKE",
            "address_2": "SUITE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125044",
            "telephone_number": "703-750-1585",
            "fax_number": "703-750-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 LITTLE RIVER TPKE",
            "address_2": "SUITE 110",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125044",
            "telephone_number": "703-750-1585",
            "fax_number": "703-750-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. GOLDBERG, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "703-750-1585",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/UNITED HEALTHCARE",
            "identifier": "242447",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010023238",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "43671",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2028250",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "VA0863",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Davenport, PSY.D.
• Bethsy Daverman, MD
• David a Sayles MD, PLLC
• David B. Summer M.D., P.C.
• David M Morgan, DDS, MD, PLC
• David W Alway MD
• Mary-Katherine Davidson-Taylor, M.S. OTR/L
• Gary M Davidson, MD
• Melinda Woodall Davidson
• Shelly Davies, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.