MEDICARE: DR. NORMAN M GOLDGLANTZ OD

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
1	152W00000X	Optometrist	OPC1276	FL
2	152WL0500X	Low Vision Rehabilitation Optometrist	OPC1276	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19066	OTHER	FL	BLUE SHIELD BLUE CROSS FL

General Provider Information

NPI Number	:	1770526287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN M GOLDGLANTZ OD

Provider Business Mailing Address
First Line	:	14030 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-3443
Country	:	US
Telephone Number	:	305-981-4775
Fax Number	:	305-981-4766

Provider Business Practice Location Address
First Line	:	14030 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-3443
Country	:	US
Telephone Number	:	305-981-4775
Fax Number	:	305-981-4766

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	09/11/2025

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