NPIMap

Organization Active NPI

Jon L Marberger

  • Optometrist
  • Glenside, PA
National Provider Identifier
1265737159
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000871 Issued in PA
Legal business name
JON L MARBERGER
Practice address
2256 Mount Carmel Ave
Glenside, PA 19038-4610
Phone
(215) 576-1321
Fax
(215) 886-6892
NPI assigned
Jan 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Dr. Jon L Marberger, O.D.
Title
Owner
Phone
(215) 576-1321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000871 PA Primary

Addresses

Primary practice location

2256 Mount Carmel Ave
Glenside, PA 19038-4610

Mailing address

PO Box 429
Glenside, PA 19038-0429
Phone (215) 576-1321

Other names 1

  • DR JON L MARBERGER Other name

National Provider Directory

National Provider Directory

Locations

2256 Mount Carmel Ave
Glenside, PA 19038
Phone (215) 576-1321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1265737159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190380429",
            "telephone_number": "215-576-1321",
            "fax_number": "215-886-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 MOUNT CARMEL AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384610",
            "telephone_number": "215-576-1321",
            "fax_number": "215-886-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON L MARBERGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "MARBERGER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-576-1321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR JON L MARBERGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.