| Doctor Name: | MARK MARGOLIES |
| NPI Number: | 1043216898 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OD |
| License Number: | OEG000972 |
| Business Practice Address: | 29 Stonybrook Dr Levittown, PA - 190552216 |
| Business Phone Number: | 2159461221 |
| Business Fax Number: | 2159461225 |
| Mailing Address: | 1724 Kendrick St, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191521816 |
| Phone Number: | 2159461221 |
| Fax Number: | 2159461225 |
| NPI Enumeration Date: | 06/27/2005 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | OEG000972 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |