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Contact Information

JILL M GOLDBERG, OD
4363 HIGHLAND RD
WATERFORD TOWNSHIP, MI48328-2141
 Phone: 248-674-4065
 Fax: 248-673-4428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for JILL M GOLDBERG · (Female)

NPI Number 1699240200
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/10/2018
Last updated 04/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4901005164
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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