Raymond M Goga
Organization Active NPI Optometrist · Marathon, WI
NPI 1649334962 · NPPES record last updated Nov 2, 2009
Key facts
- NPI
- 1649334962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1535 (WI)
- Legal business name
- RAYMOND M GOGA
- Practice address
- 703 3Rd St.
Marathon, WI 54448-0117 - Phone
- (715) 443-2248
- Fax
- (715) 443-9969
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Raymond Michael Goga, O.D.
- Title
- Owner
- Phone
- (715) 443-2248
Practitioners 4
-
Erin Leigh Goga, O.D.
-
Raymond M Goga, OD
-
Yaser Haleem, DC
-
Ken Martell, OD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1535 | WI | Yes |
Addresses
Primary practice location
703 3Rd St.
Marathon, WI 54448-0117
Mailing address
703 3Rd St.
Marathon, WI 54448-0117
Phone (715) 443-2248
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38704700 | Medicaid | WI |
Other providers in Marathon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.