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NPI Code Detail

MEDICARE: KOLEMAN R FINKELSTEIN OD

MEDICARE:   KOLEMAN R FINKELSTEIN  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
1152W00000XOptometrist678-227TLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881610731
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOLEMAN R FINKELSTEIN OD
Provider Business Mailing Address
First Line : PO BOX 1950
Second Line : VISION OPTIQUE INC
City : MANDEVILLE
State : LA
Zip : 70470-1950
Country : US
Telephone Number : 985-727-9948
Fax Number :
Provider Business Practice Location Address
First Line : 910 W ESPLANADE AVE
Second Line : VISION OPTIQUE
City : KENNER
State : LA
Zip : 70065-6212
Country : US
Telephone Number : 504-467-7095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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Directions to “ KOLEMAN R FINKELSTEIN OD” Practice Location

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