DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. GARY E GOBERVILLE O.D

MEDICARE: DR. GARY E GOBERVILLE O.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WP0200XPediatric Optometrist2575FL
2152WS0006XSports Vision Optometrist2575FL
3152WV0400XVision Therapy Optometrist2575FL
4152W00000XOptometristOPC2575FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346233780
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY E GOBERVILLE O.D
Provider Business Mailing Address
First Line : 8614 WESTWOOD CENTER DR FL 9
Second Line :
City : VIENNA
State : VA
Zip : 22182-2442
Country : US
Telephone Number : 703-847-8899
Fax Number :
Provider Business Practice Location Address
First Line : 9804 S MILITARY TRL STE E7
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-3220
Country : US
Telephone Number : 561-738-5997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 09/13/2024

Similar Medicare Providers

1700392065 — MYEYEDR OPTOMETRY OF FLORIDA, LLC
Practice Location Address:
9804 S MILITARY TRL STE E7
BOYNTON BEACH, FL
33436-3220
Practice Phone: 561-336-6133
Practice Fax: 561-738-5997
1417992231 — PVPT, INC.
Practice Location Address:
880 A1A N , STE 18A
PONTE VEDRA BEACH, FL
32082-3220
Practice Phone: 904-285-2910
Practice Fax: 904-285-4663
1013926385 — DAWN A. MALLARD MA CCC-SLP
Practice Location Address:
880 A1A N , STE 18A
PONTE VEDRA BEACH, FL
32082-3220
Practice Phone: 904-778-7501
Practice Fax: 904-778-7504
1538178819 — RAPHAEL CHRISTA MONTGOMERY PT
Practice Location Address:
880 A1A N , STE 18A
PONTE VEDRA BEACH, FL
32082-3220
Practice Phone: 904-778-7501
Practice Fax: 904-778-7504
1154330439 — DEBORAH DEE HARTLEY LMT
Practice Location Address:
880 A1A N , STE 18A
PONTE VEDRA BEACH, FL
32082-3220
Practice Phone: 904-285-2910
Practice Fax: 904-285-4663
1235148511 — ANDREA LOUISE MIXER PTA
Practice Location Address:
880 A1A N , STE 18A
PONTE VEDRA BEACH, FL
32082-3220
Practice Phone: 904-285-2910
Practice Fax: 904-285-4663

Directions to “ DR. GARY E GOBERVILLE O.D” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.