NPIMap

Organization Active NPI

Marc a Goldberg MD PC

Doing business as Marc A Goldberg MD Optical

  • Eyewear Supplier
  • Tulsa, OK
National Provider Identifier
1174836241
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
332H0000X Issued in OK
Legal business name
MARC A GOLDBERG MD PC
Doing business as
Marc A Goldberg MD Optical
Practice address
2000 S Wheeling Ave
Suite 1010
Tulsa, OK 74104-5649
Phone
(918) 712-3256
Fax
(918) 712-3263
NPI assigned
Jul 19, 2010
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MARC A GOLDBERG, MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marc Andrew Goldberg, MDNPI 1952396186
Title
Owner
Phone
(918) 712-3256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 332H0000X OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave
Suite 1010
Tulsa, OK 74104-5649

Mailing address

2000 S Wheeling Ave
Suite 1010
Tulsa, OK 74104-5649
Phone (918) 712-3256

Other identifiers 1

IdentifierTypeStateIssuer
100198360AMedicaidOK

Other names 1

  • Marc A Goldberg MD Optical Doing business as

National Provider Directory

National Provider Directory
Part of
Marc a Goldberg MD PC

Locations

2000 S Wheeling Ave
Ste 1010
Tulsa, OK 74104
Phone (918) 584-4433

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1174836241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE",
            "address_2": "SUITE 1010",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045649",
            "telephone_number": "918-712-3256",
            "fax_number": "918-712-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE",
            "address_2": "SUITE 1010",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045649",
            "telephone_number": "918-712-3256",
            "fax_number": "918-712-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC A GOLDBERG MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARC A GOLDBERG, MD PC",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-712-3256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "332H0000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100198360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marc A Goldberg MD Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.