Provider Demographics
NPI:1871650176
Name:FINNEMORE, VICTOR MORRILL (OD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:MORRILL
Last Name:FINNEMORE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:400 COMMONWEALTH AVE
Mailing Address - Street 2:UNIT 3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-426-0370
Mailing Address - Fax:617-426-4924
Practice Address - Street 1:400 COMMONWEALTH AVE
Practice Address - Street 2:UNIT 2
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-426-0370
Practice Address - Fax:617-426-4924
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2251152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
042304182OtherVISION SERVICE PLAN
39436001OtherDAVIS VISION EYECARE
152087OtherHARVARD PILGRIM HEALTHCAR
2251OtherVISION BENEFITS OF AMERIC
MA0308714Medicaid
2200565OtherUNITED HEALTHCARE
2257212OtherAETNA HEALTHCARE
MA738778OtherTUFTS HEALTH PLAN
MAW16086OtherBCBS MA
MA0308714Medicaid
U77620Medicare UPIN