Individual provider Active NPI

Howard Goldberg, O.D.

  • Optometrist
  • Carlsbad, CA
National Provider Identifier
1982742599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6235T Issued in CA
Practice address
2555 El Camino Real
JC Penney Optical
Carlsbad, CA 92008-1202
Phone
(760) 729-4188
Fax
(760) 729-8136
NPI assigned
Feb 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6235T CA Primary

Addresses

Primary practice location

2555 El Camino Real
JC Penney Optical
Carlsbad, CA 92008-1202

Mailing address

24916 Laguna Vis
Laguna Niguel, CA 92677-7471
Phone (949) 922-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6235TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982742599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24916 LAGUNA VIS",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777471",
            "telephone_number": "949-922-9116",
            "fax_number": "949-606-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 EL CAMINO REAL",
            "address_2": "JC PENNEY OPTICAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081202",
            "telephone_number": "760-729-4188",
            "fax_number": "760-729-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6235T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.