MEDICARE: DR. CAROLYN FINNELL OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	T3017804	AZ
2	152W00000X	Optometrist	1124	AZ

General Provider Information

NPI Number	:	1316137250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLYN FINNELL OD

Provider Business Mailing Address
First Line	:	1600 N KOLB RD
Second Line	:	STE. 212
City	:	TUCSON
State	:	AZ
Zip	:	85715-4934
Country	:	US
Telephone Number	:	520-979-1306
Fax Number	:

Provider Business Practice Location Address
First Line	:	10501 E SEVEN GENERATIONS WAY STE 101
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-5828
Country	:	US
Telephone Number	:	520-777-3515
Fax Number	:	877-395-0856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	06/09/2023

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