Provider Demographics
NPI:1841637386
Name:MJ FINEBERG OD PLLC
Entity type:Organization
Organization Name:MJ FINEBERG OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:FINEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:602-439-2927
Mailing Address - Street 1:5930 W GREENWAY RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-3200
Mailing Address - Country:US
Mailing Address - Phone:602-439-3937
Mailing Address - Fax:602-843-6404
Practice Address - Street 1:5930 W GREENWAY RD
Practice Address - Street 2:SUITE 11
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-3200
Practice Address - Country:US
Practice Address - Phone:602-439-3937
Practice Address - Fax:602-843-6404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-23
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ062152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty