Provider Demographics
NPI:1366443160
Name:FINKELSTEIN, ELLIOT (OD)
Entity Type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:
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 1:2800 VETERANS BLVD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002
Mailing Address - Country:US
Mailing Address - Phone:504-833-5573
Mailing Address - Fax:504-832-9629
Practice Address - Street 1:2800 VETERANS BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002
Practice Address - Country:US
Practice Address - Phone:504-833-5573
Practice Address - Fax:504-832-9629
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA826-095T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1334421Medicaid
T19421Medicare UPIN
LA1334421Medicaid