Healthcare Provider Details

I. General information

NPI: 1124043831
Provider Name (Legal Business Name): IRWIN HOWARD FINGERMAN OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5239 OLD SPRINGVILLE RD STE 103
PINSON AL
35126
US

IV. Provider business mailing address

5239 OLD SPRINGVILLE RD STE 103
PINSON AL
35126
US

V. Phone/Fax

Practice location:
  • Phone: 205-854-6700
  • Fax: 205-854-6776
Mailing address:
  • Phone: 205-854-6700
  • Fax: 205-854-6776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS630TA251
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: