Individual provider Active NPI

Gary Finnegan, O.D.

  • Optometrist
  • Bloomsburg, PA
National Provider Identifier
1831291616
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000286 Issued in PA
Practice address
1901 Columbia Blvd
Bloomsburg, PA 17815-7750
Phone
(570) 387-0991
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000286 PA Primary

Addresses

Primary practice location

1901 Columbia Blvd
Bloomsburg, PA 17815-7750

Mailing address

1901 Columbia Blvd
Bloomsburg, PA 17815-7750
Phone (570) 387-0991

Other identifiers 1

IdentifierTypeStateIssuer
001605158-0002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081108000003 PA Practitioner - Optometry 1850450651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finnco IncorporatedGroup PAC ID 0143389809, 3 clinicians

Practice addresses (Care Compare)

1901 Columbia Blvd
Bloomsburg, PA 17815-7750
Phone (570) 387-0991

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Finnco Incorporated Optometrist CurrentSince Sep 1, 1998 Accepting new patients

Locations

133 W Front St
Berwick, PA 18603
Phone (570) 752-2500

1901 Columbia Blvd
Bloomsburg, PA 17815
Phone (570) 387-0991

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1831291616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 COLUMBIA BLVD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157750",
            "telephone_number": "570-387-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 COLUMBIA BLVD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157750",
            "telephone_number": "570-387-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001605158-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.