Healthcare Provider Details

I. General information

NPI: 1770526287
Provider Name (Legal Business Name): NORMAN M GOLDGLANTZ OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14030 W DIXIE HWY
NORTH MIAMI FL
33161-3443
US

IV. Provider business mailing address

14030 W DIXIE HWY
NORTH MIAMI FL
33161-3443
US

V. Phone/Fax

Practice location:
  • Phone: 305-981-4775
  • Fax: 305-981-4766
Mailing address:
  • Phone: 305-981-4775
  • Fax: 305-981-4766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC1276
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License NumberOPC1276
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: