Active NPI
Koleman R Finkelstein, OD
- Optometrist
- Kenner, LA
National Provider Identifier
1881610731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 678-227T
- Practice address
- 910 W Esplanade Ave
Vision Optique
Kenner, LA 70065-6212 - Phone
- (504) 467-7095
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 678-227T | LA | Primary |
Addresses
Primary practice location
910 W Esplanade Ave
Vision Optique
Kenner, LA 70065-6212
Mailing address
PO Box 1950
Vision Optique Inc
Mandeville, LA 70470-1950
Phone (985) 727-9948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104019 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 678 | LA | MD | Counselor |
| 678-227T | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Optique Inc | Optometrist | Past | Accepting new patients |
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": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881610731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1950",
"address_2": "VISION OPTIQUE INC",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704701950",
"telephone_number": "985-727-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W ESPLANADE AVE",
"address_2": "VISION OPTIQUE",
"city": "KENNER",
"state": "LA",
"postal_code": "700656212",
"telephone_number": "504-467-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINKELSTEIN",
"first_name": "KOLEMAN",
"middle_name": "R",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "678-227T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104019",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.