Provider Demographics
NPI:1184760308
Name:FELDMAN, FLORA TAUB (OD)
Entity type:Individual
Prefix:DR
First Name:FLORA
Middle Name:TAUB
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:FLORA
Other - Middle Name:ROXANE
Other - Last Name:TAUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1 BARCLAY CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2919
Mailing Address - Country:US
Mailing Address - Phone:301-309-1737
Mailing Address - Fax:301-309-1737
Practice Address - Street 1:2101 BRIGHTSEAT RD
Practice Address - Street 2:SEARS OPTICAL
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-3602
Practice Address - Country:US
Practice Address - Phone:301-322-6255
Practice Address - Fax:301-322-6211
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA0941152W00000X
DC0P555152W00000X
VA0618000598152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
7792180OtherAETNA
210349OtherNVA
938821OtherEYEMED
210349OtherNVA