Healthcare Provider Details

I. General information

NPI: 1215061957
Provider Name (Legal Business Name): FINKLANG EYE HEALTH ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 PROFESSIONAL PKWY
TROY MO
63379-2822
US

IV. Provider business mailing address

84 PROFESSIONAL PKWY
TROY MO
63379-2822
US

V. Phone/Fax

Practice location:
  • Phone: 636-528-6104
  • Fax: 636-528-7361
Mailing address:
  • Phone: 636-528-6104
  • Fax: 636-528-7361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. KURT W. FINKLANG
Title or Position: GENERAL PARTNER
Credential: O.D.
Phone: 636-528-6104