Provider Demographics
NPI:1124043831
Name:FINGERMAN, IRWIN HOWARD (OD)
Entity type:Individual
Prefix:
First Name:IRWIN
Middle Name:HOWARD
Last Name:FINGERMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5239 OLD SPRINGVILLE RD
Mailing Address - Street 2:STE 103
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126
Mailing Address - Country:US
Mailing Address - Phone:205-854-6700
Mailing Address - Fax:205-854-6776
Practice Address - Street 1:5239 OLD SPRINGVILLE RD
Practice Address - Street 2:STE 103
Practice Address - City:PINSON
Practice Address - State:AL
Practice Address - Zip Code:35126
Practice Address - Country:US
Practice Address - Phone:205-854-6700
Practice Address - Fax:205-854-6776
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS630TA251152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL924396OtherBLOCK VISION
MD40510OtherSPECTERA
AL5292024410Medicaid
AL924396OtherBLOCK VISION