Organization Active NPI

Finnco Incorporated

  • Optometrist
  • Bloomsburg, PA
National Provider Identifier
1942495379
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000286 Issued in PA
Legal business name
FINNCO INCORPORATED
Doing business as
Dr. Gary Finnegan-Optometrist
Practice address
1901 Columbia Blvd
Bloomsburg, PA 17815-7750
Phone
(570) 387-0991
NPI assigned
Sep 10, 2007
Organization subpart
No

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

Authorized official

Name
Dr. Gary T. Finnegan, O.D.NPI 1831291616
Title
Owner
Phone
(570) 387-0991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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
001605158-002MedicaidPA

Other names 1

  • Dr. Gary Finnegan-Optometrist Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081110000609 PA Part B Supplier - Clinic/Group Practice 0143389809 Receives reassigned benefits from 4 practitioners
Practice locations: Bloomsburg, PA

National Provider Directory

National Provider Directory

Locations

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

1901 Columbia Blvd
Ste 2
Bloomsburg, PA 17815

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

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1942495379",
    "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": {
        "organization_name": "FINNCO INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "FINNEGAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-387-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001605158-002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Gary Finnegan-Optometrist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.