Provider Demographics
NPI:1346249158
Name:FINKELSTEIN, DAVID M (OD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:FINKELSTEIN
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:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:VINEYARD HAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02568-5535
Mailing Address - Country:US
Mailing Address - Phone:508-693-3517
Mailing Address - Fax:508-696-8570
Practice Address - Street 1:28 STATE RD
Practice Address - Street 2:
Practice Address - City:VINEYARD HAVEN
Practice Address - State:MA
Practice Address - Zip Code:02568-5535
Practice Address - Country:US
Practice Address - Phone:508-693-3517
Practice Address - Fax:508-696-8570
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2348152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
15046OtherHARVARD PILGRIM HEALTH
MAW15213OtherBC/BS
MA0321125Medicaid
MAW15213OtherBC/BS
15046OtherHARVARD PILGRIM HEALTH