GARY M FISHBERG O D PROF CORP
NPI 1639338312
Optometrist - Corneal and Contact Management in Riverside, CA

Active since June 06, 2008
5225 CANYON CREST DR, SUITE 201, RIVERSIDE, CA 92507(951) 788-2020 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary M Fishberg O D Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY M FISHBERG O D PROF CORP (NPI 1639338312) is a healthcare organization registered as a corneal and contact management in Riverside, California and active in the NPI registry since June 2008. The organization lists Gary M Fishberg, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1639338312
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameGARY M FISHBERG O D PROF CORP
Location Address5225 CANYON CREST DR, SUITE 201Riverside, CA 92507-6301
Mailing Address5225 Canyon Crest Dr, Suite 201Riverside, CA 92507-6301 · (951) 788-2020
Organization SubpartNo
Authorized OfficialGary M FishbergOptometrist/owner · (951) 788-2020
Enumeration DateJune 6, 2008
Last NPPES UpdateMarch 11, 2015
NPI 1639338312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License Licensed in CA · 6656T
Definition

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.

5225 CANYON CREST DR, Riverside, CA 92507

Other Identifiers 2

Medicare PIN6276031CA
MedicaidSD0066562CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5225 CANYON CREST DR, 209
RIVERSIDE, CA 92507
Social Worker (Clinical)
5225 CANYON CREST DR
RIVERSIDE, CA 92507
Dentist
5225 CANYON CREST DR, SUITE 209
RIVERSIDE, CA 92507
Pharmacy Technician
5225 CANYON CREST DR
RIVERSIDE, CA 92507
Marriage & Family Therapist
5225 CANYON CREST DR, BUILDING 100, SUITE 103
RIVERSIDE, CA 92507
Psychiatry & Neurology (Psychiatry)
5225 CANYON CREST DR, BUILDING 100 SUITE 103
RIVERSIDE, CA 92507
Marriage & Family Therapist
5225 CANYON CREST DR, STE 152
RIVERSIDE, CA 92507
Social Worker (Clinical)
5225 CANYON CREST DR, BLDG. 100, SUITE 103
RIVERSIDE, CA 92507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary M Fishberg O D Prof Corp's NPI number?

The NPI number for Gary M Fishberg O D Prof Corp is 1639338312. It was assigned to this organization in the NPPES registry on June 6, 2008.

Where is Gary M Fishberg O D Prof Corp located?

Gary M Fishberg O D Prof Corp is located at 5225 Canyon Crest Dr Suite 201, Riverside, CA 92507. The listed phone number is (951) 788-2020.

What is Gary M Fishberg O D Prof Corp's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

When was this NPI record last updated?

The NPPES record for Gary M Fishberg O D Prof Corp was last updated on March 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.