MJ Fineberg OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

062 Issued in AZ

Legal business name

MJ FINEBERG OD PLLC

Practice address

5930 W Greenway Rd
Suite 11
Glendale, AZ 85306-3200

Phone

(602) 439-3937

Fax

(602) 843-6404

NPI assigned

May 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Jay Fineberg, OD

Title

Doctor of Optometry

Phone

(602) 439-2927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1841637386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 W GREENWAY RD",
            "address_2": "SUITE 11",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063200",
            "telephone_number": "602-439-3937",
            "fax_number": "602-843-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 W GREENWAY RD",
            "address_2": "SUITE 11",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063200",
            "telephone_number": "602-439-3937",
            "fax_number": "602-843-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ FINEBERG OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "FINEBERG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "602-439-2927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.