Provider Demographics
NPI:1215061957
Name:FINKLANG EYE HEALTH ASSOCIATES, LLC
Entity type:Organization
Organization Name:FINKLANG EYE HEALTH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:W
Authorized Official - Last Name:FINKLANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:636-528-6104
Mailing Address - Street 1:84 PROFESSIONAL PKWY
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MO
Mailing Address - Zip Code:63379-2822
Mailing Address - Country:US
Mailing Address - Phone:636-528-6104
Mailing Address - Fax:636-528-7361
Practice Address - Street 1:84 PROFESSIONAL PKWY
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MO
Practice Address - Zip Code:63379-2822
Practice Address - Country:US
Practice Address - Phone:636-528-6104
Practice Address - Fax:636-528-7361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO501607709Medicaid
MO501607709Medicaid
MO0493700001Medicare NSC