Provider Demographics
NPI:1003903311
Name:FINEBERG, BARBARA B (OD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:B
Last Name:FINEBERG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 HILLGRASS
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-3725
Mailing Address - Country:US
Mailing Address - Phone:949-861-8549
Mailing Address - Fax:949-861-8549
Practice Address - Street 1:18449 BROOKHURST ST
Practice Address - Street 2:SUITE 6
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6751
Practice Address - Country:US
Practice Address - Phone:714-963-2111
Practice Address - Fax:714-963-4246
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8077T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA03000PBASD0080770OtherBLUE SHEILD OF CALIFORNIA
CAY1668Medicare UPIN
CAOP1877Medicare ID - Type UnspecifiedMEDICARE