| NPI | 1174836241 |
|---|---|
| Doing Business As | MARC A GOLDBERG MD OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MARC ANDREW GOLDBERG Owner 918-712-3256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 332H0000X) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-10-29 |