Provider Demographics
NPI:1578513024
Name:GINSBERG, BARRETT R (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRETT
Middle Name:R
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 8TH ST S
Mailing Address - Street 2:SUITE B
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6111
Mailing Address - Country:US
Mailing Address - Phone:239-325-2015
Mailing Address - Fax:239-325-2014
Practice Address - Street 1:77 8TH ST S
Practice Address - Street 2:SUITE B
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6111
Practice Address - Country:US
Practice Address - Phone:239-325-2015
Practice Address - Fax:239-325-2014
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87934207W00000X
CAA86777207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3993767OtherCIGNA
FL272740400Medicaid
FL7417600OtherAETNA
FL3993767OtherCIGNA
FL16679WMedicare PIN
FL7417600OtherAETNA