Provider Demographics
NPI:1396896890
Name:GINSBERG, MONICA (OD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:GINSBERG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2523 MONTEREY CT
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1509
Mailing Address - Country:US
Mailing Address - Phone:954-384-4949
Mailing Address - Fax:954-384-8842
Practice Address - Street 1:2523 MONTEREY CT
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1509
Practice Address - Country:US
Practice Address - Phone:954-384-4949
Practice Address - Fax:954-384-8842
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2519152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist