Organization Active NPI

Gary Finkelstein MD Eye Associates SC

  • Ophthalmology Physician
  • Streator, IL
National Provider Identifier
1629185376
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GARY FINKELSTEIN MD EYE ASSOCIATES SC
Practice address
102 West Elm Street
Streator, IL 61364
Phone
(815) 672-4600
Fax
(815) 672-3333
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Dr. Gary Richard Finkelstein, MD
Title
Partner
Phone
(815) 672-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

102 West Elm Street
Streator, IL 61364

Mailing address

102 West Elm Street
Streator, IL 61364
Phone (815) 672-4600

Other identifiers 1

IdentifierTypeStateIssuer
0420078OtherILLICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

1915 4th St
Peru, IL 61354
Phone (815) 223-0988

102 W Elm St
Streator, IL 61364
Phone (815) 672-4600

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1629185376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WEST ELM STREET",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "61364",
            "telephone_number": "815-672-4600",
            "fax_number": "815-672-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WEST ELM STREET",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "61364",
            "telephone_number": "815-672-4600",
            "fax_number": "815-672-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY FINKELSTEIN MD EYE ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "FINKELSTEIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "815-672-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0420078",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Streator, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.