Provider Demographics
NPI:1760778575
Name:KARA FELDBERG, O.D, P.L.L.C
Entity Type:Organization
Organization Name:KARA FELDBERG, O.D, P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KARA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:FELDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:203-215-4470
Mailing Address - Street 1:224 N BROADWAY
Mailing Address - Street 2:E1
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2145
Mailing Address - Country:US
Mailing Address - Phone:603-458-1908
Mailing Address - Fax:603-952-2210
Practice Address - Street 1:224 N BROADWAY
Practice Address - Street 2:E1
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2145
Practice Address - Country:US
Practice Address - Phone:603-458-1908
Practice Address - Fax:603-952-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0822152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty