Douglas R Fingold

Primary specialty

OptometristTaxonomy code 152W00000X

License

03270TG Issued in TX

Legal business name

DOUGLAS R FINGOLD

Practice address

3010 Gulf Fwy S
Suite L
Dickinson, TX 77539-4337

Phone

(281) 534-4600

Fax

(281) 534-4699

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Douglas R Fingold, OD

Title

Owner

Phone

(281) 534-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Texas State Optical Dickinson Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Michelle Gonzales, O.D.

  • Optometrist
  • Baytown, TX
  • NPI 1558587048
  NPD (past)
• Joe Michael Salazar, O.D.

  • Optometrist
  • Webster, TX
  • NPI 1235252164
  NPD (past)
• Jacquelin Escoto Benitez, OD

  • Optometrist
  • Olympia, WA
  • NPI 1053084343
  NPD (past)

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1417215948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19052 GULF FWY",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462703",
            "telephone_number": "281-486-5064",
            "fax_number": "281-282-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 GULF FWY S",
            "address_2": "SUITE L",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394337",
            "telephone_number": "281-534-4600",
            "fax_number": "281-534-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R FINGOLD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "FINGOLD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-534-4600",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03270TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346113901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical Dickinson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.