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

NPI Status: Active since June 06, 2008

Contact Information

5225 CANYON CREST DR
SUITE 201
RIVERSIDE, CA
ZIP 92507
Phone: (951) 788-2020

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  • Organization
  • Optometrist
  • Corneal and Contact Management

About GARY M FISHBERG O D PROF CORP

This page provides the complete NPI Profile along with additional information for Gary M Fishberg O D Prof Corp, a provider established in Riverside, California operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1639338312 assigned on June 2008. The practitioner's primary taxonomy code is 152WC0802X with license number 6656T (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Gary M Fishberg O.d. (Optometrist/owner)

NPI
1639338312
Provider Name
GARY M FISHBERG O D PROF CORP
Entity Type
Organization
Location Address
5225 CANYON CREST DR SUITE 201 RIVERSIDE, CA 92507
Location Phone
(951) 788-2020
Mailing Address
5225 CANYON CREST DR SUITE 201 RIVERSIDE, CA 92507
Mailing Phone
(951) 788-2020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2008
Last Update Date
03-11-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist Corneal and Contact Management

Taxonomy Code
152WC0802X
Type
Eye and Vision Services Providers
License No.
6656T
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GARY M FISHBERG O.D.

Authorized Official Title
OPTOMETRIST/OWNER
Authorized Official Phone
(951) 788-2020

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6276031MEDICARE PIN (08)CA 
SD0066562MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639338312
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669631632
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 3 + 1 + 6 + 3 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1639338312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MS. MARSIE CAMPBELL MFT

Marriage & Family Therapist

5225 CANYON CREST DR
STE 152
RIVERSIDE, CA
ZIP 92507

(951) 695-6343

DR. CRAIG RICHARD MERRIHEW DDS

Dentist

5225 CANYON CREST DR
SUITE 209
RIVERSIDE, CA
ZIP 92507

(951) 686-7777

MRS. MARTHA MADRID CAMPBELL LMFT

Marriage & Family Therapist

5225 CANYON CREST DR
BLDG 100 STE 152
RIVERSIDE, CA
ZIP 92507

(951) 686-8646

ORTHOPAEDIC PHYSICAL THERAPY INSTITUTE

Clinic/Center

(Physical Therapy)

5225 CANYON CREST DR
SUITE 205
RIVERSIDE, CA
ZIP 92507

(951) 683-3309

MRS. BARBARA ANNE SIMMONS M.F.T.

Marriage & Family Therapist

5225 CANYON CREST DR
BUILDING 100, SUITE 103
RIVERSIDE, CA
ZIP 92507

(951) 248-4035

MS. SUSAN LYNN SINCLAIR LICENCED M.F.T.

Marriage & Family Therapist

5225 CANYON CREST DR
BLDG 100, SUITE 103
RIVERSIDE, CA
ZIP 92507

(951) 248-4000

MR. MARK RAYMOND SEIBERLING LCSW

Social Worker

(Clinical)

5225 CANYON CREST DR
RIVERSIDE, CA
ZIP 92507

(951) 248-4000

LYDIA RAMOS LCSW

Social Worker

(Clinical)

5225 CANYON CREST DR
BUILDING 100, SUITE 103
RIVERSIDE, CA
ZIP 92507

(951) 248-4000

IRENE MONTES MFT

Marriage & Family Therapist

5225 CANYON CREST DR
BUILDING 100, SUITE 103
RIVERSIDE, CA
ZIP 92507

(951) 248-4000

AMY LYNN MADDIGAN L.C.S.W.

Social Worker

(Clinical)

5225 CANYON CREST DR
BUILDING 400, SUITE 411
RIVERSIDE, CA
ZIP 92507

(951) 248-4043

MS. DENISE KATHLEEN COX LMFT

Marriage & Family Therapist

5225 CANYON CREST DR
BLDG. 100, STE. 103
RIVERSIDE, CA
ZIP 92507

(951) 248-4000

MARTHA ELLEN DE ZEEUW MFT

Marriage & Family Therapist

5225 CANYON CREST DR
SUITE 103, BUILDING 100
RIVERSIDE, CA
ZIP 92507

(951) 248-4000

MR. RUSSELL BENSON MCCLOUD MSW, LCSW

Social Worker

(Clinical)

5225 CANYON CREST DR
BLDG. 400, SUITE 411
RIVERSIDE, CA
ZIP 92507

(951) 248-4042

ANGELA M LUSTRICK CN, CPT

Nutritionist

5225 CANYON CREST DR
SUITE #62
RIVERSIDE, CA
ZIP 92507

(951) 683-0448

TRACI HOLLAND-VINCENT PT

Physical Therapist

5225 CANYON CREST DR
SUITE 205
RIVERSIDE, CA
ZIP 92507

(951) 683-3309

THALIA PHUONG PHI

Pharmacist

5225 CANYON CREST DR
RIVERSIDE, CA
ZIP 92507

(951) 686-2203

MR. ADEL F ZAKI

Pharmacist

5225 CANYON CREST DR
RIVERSIDE, CA
ZIP 92507

(951) 686-2203

TONY HO

Pharmacist

5225 CANYON CREST DR
RIVERSIDE, CA
ZIP 92507

(951) 686-4504

MS. STACY STRICKLAND M.S.

Marriage & Family Therapist

5225 CANYON CREST DR
BLDG 100, STE 103
RIVERSIDE, CA
ZIP 92507

(951) 248-4000

ALEXANDRIA CHRISTINE BRENT DDS

Dentist

(General Practice)

5225 CANYON CREST DR
209
RIVERSIDE, CA
ZIP 92507

(951) 686-7777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639338312, enumerated as an "organization" on June 06, 2008.

The provider is located at 5225 CANYON CREST DR SUITE 201 RIVERSIDE, CA 92507 and the phone number is (951) 788-2020.

Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.