Search › Maryland › 183500000X
Marcus Mog
NPI 1528669322 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1700 Kingfisher Dr
Frederick, MD 21701 - Phone
- (301) 815-2201
- Fax
- (844) 411-6310
- Organisation at this address
- Opal Ridgedental Llc
Giant Of Maryland Llc
Myeyedr Optometry Of Maryland, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 1835P0018X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland