Provider Demographics
NPI:1790762540
Name:FLEITMAN, CYNTHIA G V (OD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:G
Last Name:FLEITMAN
Suffix:V
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:2020 W HIGHWAY 82
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-2051
Mailing Address - Country:US
Mailing Address - Phone:940-612-2020
Mailing Address - Fax:940-612-0083
Practice Address - Street 1:2020 W HIGHWAY 82
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-2051
Practice Address - Country:US
Practice Address - Phone:912-640-2020
Practice Address - Fax:940-612-0083
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5046TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80263QOtherBLUE CROSS BLUE SHIELD
TXU79353Medicare UPIN