Fred E. Goldberg O.d., F.a.a.o., PC

NPI #1063606796 in Mc Lean, Virginia

Provider Information

NPI Number: 1063606796
Entity Type: Organization
Organization Name: Fred E. Goldberg O.d., F.a.a.o., PC
Primary Specialty: Optometrist
Enumeration Date: Sep 6, 2007
Last Updated: Jan 21, 2009

Practice Location

Address: 1340 OLD CHAIN BRIDGE RD
Address 2: SUITE 102
City: Mc Lean
State: Virginia
ZIP Code: 22101-3909
Phone: (703) 893-2020

Authorized Official

Name: DR. FRED E GOLDBERG, O.D., F.A.A.O.
Title: DOCTOR OF OPTOMETRY
Phone: (703) 893-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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