MEDICARE: HARVEY FINKLE OPTICIAN

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	156FX1800X	Optician	DO 3745	FL

General Provider Information

NPI Number	:	1326165515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARVEY FINKLE OPTICIAN

Provider Business Mailing Address
First Line	:	1933 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3212
Country	:	US
Telephone Number	:	407-677-8666
Fax Number	:

Provider Business Practice Location Address
First Line	:	1933 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3212
Country	:	US
Telephone Number	:	407-677-8666
Fax Number	:

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2007

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