Provider Demographics
NPI:1922130434
Name:GINSBERG, BARRY (OD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 YAMATO RD STE A17
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5353
Mailing Address - Country:US
Mailing Address - Phone:561-988-9661
Mailing Address - Fax:561-995-9686
Practice Address - Street 1:3011 YAMATO RD STE A17
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-5353
Practice Address - Country:US
Practice Address - Phone:561-988-9661
Practice Address - Fax:561-995-9686
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 1878152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078338200Medicaid
FL19832Medicare PIN