Provider Demographics
NPI:1659845865
Name:FEINMAN, MARIS LYNNE (OD)
Entity Type:Individual
Prefix:DR
First Name:MARIS
Middle Name:LYNNE
Last Name:FEINMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MARIS
Other - Middle Name:FEINMAN
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:3 NUTHATCH LN
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-1112
Mailing Address - Country:US
Mailing Address - Phone:914-391-5184
Mailing Address - Fax:
Practice Address - Street 1:130 N ROUTE 303 STE 6
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2034
Practice Address - Country:US
Practice Address - Phone:845-348-3236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT004115-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist