GARY M. FISHBERG O.D. – NPI #1891837852
Optometrist

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

GARY FISHBERG is an optometrist located in RIVERSIDE, CA. NPPES has assigned the NPI number 1891837852 to GARY FISHBERG on February 13, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 152WC0802X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Corneal and Contact Management

The NPI profile was previously updated about 6 years ago on Feb 12, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARY FISHBERG below.

NPI Profile for
GARY M. FISHBERG

NPI Number
1891837852
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GARY M. FISHBERG
Credentials
O.D.
Primary location
5225 CANYON CREST DR STE 201
RIVERSIDE, CA 92507-6323
Phone: (951) 788-2020 Fax: (951) 684-2020
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Feb 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GARY FISHBERG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCASD0066562
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WC0802X
- Optometrist / Corneal and Contact Management (Primary)
CA 6656T
152W00000X
- Optometrist
CA 6656

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
12413 NORWALK BLVD,
NORWALK, CA 77025-1669