Mark E Goldberg OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1084 Issued in FL

Legal business name

MARK E GOLDBERG OD PA

Practice address

2929 N University Dr
Ste 106
Coral Springs, FL 33065-5081

Phone

(954) 752-9570

Fax

(954) 600-9570

NPI assigned

Jan 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark E Goldberg, ODNPI 1679527907

Title

President Optometrist

Phone

(954) 752-9570

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark E. Goldberg, O.D.

  • Optometrist
  • Coral Springs, FL
  • NPI 1679527907
  NPD (past) Authorized official

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1285938415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N UNIVERSITY DR",
            "address_2": "STE 106",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655081",
            "telephone_number": "954-752-9570",
            "fax_number": "954-600-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N UNIVERSITY DR",
            "address_2": "STE 106",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655081",
            "telephone_number": "954-752-9570",
            "fax_number": "954-600-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E GOLDBERG OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "954-752-9570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri Liliana Marin Quintero
• Juliana Marin, DMD
• Thomas Joseph Marino, R.PH.
• Mark a. Gendal, O.D., P.a.
• Mark a. Parshall, M.D. P.a.
• Mark Sandvoss LLC
• Alexa Mark
• Elizabeth Kathleen Mark
• Market Room Inc
• Kendra Marks

• Optometrist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.