Active NPI
Doron Feder, OD
- Optometrist
- Middletown, NY
National Provider Identifier
1073615795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003866-1
- Practice address
- 125 Dolson Ave
Middletown, NY 10940-6559 - Phone
- (845) 342-2020
- Fax
- (845) 342-5934
- NPI assigned
- Sep 2, 2006
- Last updated
- Jan 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003866-1 | NY | Primary |
Addresses
Primary practice location
125 Dolson Ave
Middletown, NY 10940-6559
Mailing address
125 Dolson Ave
Middletown, NY 10940-6559
Phone (845) 342-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003866-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J&L Optical Corp | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Middletown, NY
- NPI 1134306459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1073615795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DOLSON AVE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109406559",
"telephone_number": "845-342-2020",
"fax_number": "845-342-5934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 DOLSON AVE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109406559",
"telephone_number": "845-342-2020",
"fax_number": "845-342-5934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDER",
"first_name": "DORON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003866-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.