Individual provider Active NPI

David M Finkelstein, OD

  • Optometrist
  • Vineyard Haven, MA
National Provider Identifier
1346249158
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2348 Issued in MA
Practice address
28 State Rd
Vineyard Haven, MA 02568-5535
Phone
(508) 693-3517
Fax
(508) 696-8570
NPI assigned
Jul 14, 2005
Last updated
Jun 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2348 MA Primary

Addresses

Primary practice location

28 State Rd
Vineyard Haven, MA 02568-5535

Mailing address

PO Box 519
Vineyard Haven, MA 02568-5535
Phone (508) 693-3517

Other identifiers 3

IdentifierTypeStateIssuer
W15213OtherMABC/BS
0321125MedicaidMA
15046OtherHARVARD PILGRIM HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2348MAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1346249158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685535",
            "telephone_number": "508-693-3517",
            "fax_number": "508-696-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 STATE RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685535",
            "telephone_number": "508-693-3517",
            "fax_number": "508-696-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKELSTEIN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "W15213",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321125",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "15046",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.