Feifke, Derek
Feifke, Derek is an individual health care provider with primary practice located at 50 Mall Rd Suite 114, Burlington MA 01803-4537. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Feifke, Derek can be contacted via phone (781) 229-2020.Contact Information
Primary practice address
50 Mall Rd Suite 114
Burlington MA 01803-4537
Phone: (781) 229-2020
Fax: (781) 229-2025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3624 | Massachusetts |
Profile Details
| NPI number | 1386733194 |
|---|---|
| LBN Legal business name | Feifke, Derek |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Dec 23rd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386733194 | NPPES |
| Massachusetts | Other | 732656 | TUFTS HEALTHCARE |
| Massachusetts | Other | 151586 | TUFTS HEALTHCARE |
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