Individual
DOUGLAS R FINGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2700 MARINA BAY DR STE A, LEAGUE CITY, TX 77573-2480
(281) 535-8876
(281) 282-9885
Mailing address
2700 MARINA BAY DR STE A, LEAGUE CITY, TX 77573-2480
(281) 535-8876
(281) 538-0366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03270TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76-0427499
SUPERIOR
TX
01
—
81286Q
BLUE CROSS BLUE SHIELD
TX
01
—
TX3270
EYEMED
TX
Enumeration date
03/07/2006
Last updated
09/21/2022
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