Provider Demographics
NPI:1356991830
Name:FINPAX
Entity type:Organization
Organization Name:FINPAX
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OD/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBROSE
Authorized Official - Suffix:
Authorized Official - Credentials:OPTOMETRIST
Authorized Official - Phone:804-932-6225
Mailing Address - Street 1:3300 READES WAY
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-2425
Mailing Address - Country:US
Mailing Address - Phone:215-901-1348
Mailing Address - Fax:
Practice Address - Street 1:11847 ASPENGRAF LN STE A
Practice Address - Street 2:
Practice Address - City:NEW KENT
Practice Address - State:VA
Practice Address - Zip Code:23124-2130
Practice Address - Country:US
Practice Address - Phone:804-932-6225
Practice Address - Fax:804-557-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty