Provider Demographics
NPI:1154748978
Name:SHLOSMAN, FELIX
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:SHLOSMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1864
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-0015
Mailing Address - Country:US
Mailing Address - Phone:617-739-0123
Mailing Address - Fax:617-739-0355
Practice Address - Street 1:44 WASHINGTON ST
Practice Address - Street 2:A 103
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7130
Practice Address - Country:US
Practice Address - Phone:617-739-0123
Practice Address - Fax:617-739-0355
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4287156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician