Individual
MARK MARGOLIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000972
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000972
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001607401
—
PA
01
—
410024019
RAILROAD MEDICARE PROVIDER NUMBER/PTAN
PA
Enumeration date
06/27/2005
Last updated
06/30/2010
Update your record
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