Anna Goldberg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1433 Issued in NE

Practice address

9851 S 71St PLZ
Papillion, NE 68133-2244

Phone

(402) 686-2396

NPI assigned

Jul 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

State licenses

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 and National Provider Directory roles.

• Urban Eyes PC

  • Optometrist
  • Bellevue, NE
  • NPI 1831478338
  Medicare reassignment NPD
• Focused Eye Care

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1215010293
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1962767236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 S 106TH PLZ",
            "address_2": "APT 404",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144784",
            "telephone_number": "847-722-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 S 71ST PLZ",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681332244",
            "telephone_number": "402-686-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ANNA",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010577",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12414393",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia K Glynn
• Goeken Eye Care, LLC
• Kellen Goertzen, DPT
• Nichole Gold, OTD/OTR/L
• Rene Elizabeth Gold
• Tiffany Dawn Golka, SLP
• Garang Aguto Gong
• Antonia Gonzalez
• Leanne Gonzalez
• Stephanie Gonzalez

• Optometrist in Papillion, NE
• Providers in Papillion, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.