Provider Demographics
NPI:1265643639
Name:FEIN, SEAN CRAIG (OD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:CRAIG
Last Name:FEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 3RD AVE
Mailing Address - Street 2:(WITHIN LENSCRAFTERS)
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1401
Mailing Address - Country:US
Mailing Address - Phone:212-371-1879
Mailing Address - Fax:212-371-0110
Practice Address - Street 1:777 3RD AVE
Practice Address - Street 2:(WITHIN LENSCRAFTERS)
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1401
Practice Address - Country:US
Practice Address - Phone:212-371-1879
Practice Address - Fax:212-371-0110
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2012-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005908152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist