| NPI | 1346233780 |
|---|---|
| Professional Name | GARY E GOBERVILLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2575) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: FL 2575) |
| 152WS0006X Optometrist, Sports Vision (Licence: FL 2575) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: FL 2575) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2024-09-13 |