Provider Demographics
NPI:1568486223
Name:DR FINLEYS FAMILY EYECARE OPTOMETRISTS PC
Entity Type:Organization
Organization Name:DR FINLEYS FAMILY EYECARE OPTOMETRISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-471-7810
Mailing Address - Street 1:709 PINE ST
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4604
Mailing Address - Country:US
Mailing Address - Phone:703-471-7810
Mailing Address - Fax:703-471-6549
Practice Address - Street 1:709 PINE ST
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4604
Practice Address - Country:US
Practice Address - Phone:703-471-7810
Practice Address - Fax:703-471-6549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000046152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG00071Medicare ID - Type Unspecified