Provider Demographics
NPI:1528265477
Name:DORA L FINNEY OD PA
Entity type:Organization
Organization Name:DORA L FINNEY OD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DORA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD, PA
Authorized Official - Phone:620-624-4371
Mailing Address - Street 1:1401 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67901-2275
Mailing Address - Country:US
Mailing Address - Phone:620-624-4371
Mailing Address - Fax:
Practice Address - Street 1:1401 W 15TH ST
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-2275
Practice Address - Country:US
Practice Address - Phone:620-624-4371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS1681152W00000X, 152W00000X
152WL0500X, 152WP0200X, 152WS0006X, 152WV0400X, 152WX0102X, 156FC0800X, 156FC0801X, 156FX1100X, 156FX1101X, 156FX1201X, 156FX1202X, 156FX1800X, 156FX1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty
No152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Single Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact LensGroup - Single Specialty
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens FitterGroup - Single Specialty
No156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty
No156FX1101XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic AssistantGroup - Single Specialty
No156FX1201XEye and Vision Services ProvidersTechnician/TechnologistOptometric AssistantGroup - Single Specialty
No156FX1202XEye and Vision Services ProvidersTechnician/TechnologistOptometric TechnicianGroup - Single Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
No156FX1900XEye and Vision Services ProvidersTechnician/TechnologistOrthoptistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6192340001Medicare NSC
065163Medicare PIN