Provider Demographics
NPI:1922145127
Name:DR. FLORA FELDMAN & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:DR. FLORA FELDMAN & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:TAUB
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:240-476-7419
Mailing Address - Street 1:701 RUSSELL AVE
Mailing Address - Street 2:LOCATED WITHIN SEARS OPTICAL
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2631
Mailing Address - Country:US
Mailing Address - Phone:301-527-6029
Mailing Address - Fax:301-990-6247
Practice Address - Street 1:701 RUSSELL AVE
Practice Address - Street 2:LOCATED WITHIN SEARS OPTICAL
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2631
Practice Address - Country:US
Practice Address - Phone:301-527-6029
Practice Address - Fax:301-990-6247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0941152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G00994Medicare ID - Type Unspecified