Provider Demographics
NPI:1417109505
Name:FELDBERG, KARA BETH (OD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:BETH
Last Name:FELDBERG
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 1:1093 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1505
Mailing Address - Country:US
Mailing Address - Phone:603-296-0235
Mailing Address - Fax:603-296-0242
Practice Address - Street 1:1093 ELM ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1505
Practice Address - Country:US
Practice Address - Phone:603-296-0235
Practice Address - Fax:603-296-0242
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0822152W00000X
MA4719152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist