NPIMap

Organization Active NPI

David F. Fetterman, O.D.P.C.

  • Optometrist
  • Milton, PA
National Provider Identifier
1093879629
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001596 Issued in PA
Legal business name
DAVID F. FETTERMAN, O.D.P.C.
Practice address
23 S Arch St
Milton, PA 17847-1142
Phone
(570) 742-7507
Fax
(570) 742-1884
NPI assigned
Dec 20, 2006
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David F Fetterman, O.D.
Title
Owner
Phone
(570) 742-7507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001596 PA Primary

Addresses

Primary practice location

23 S Arch St
Milton, PA 17847-1142

Mailing address

23 S Arch St
Milton, PA 17847-1142
Phone (570) 742-7507

National Provider Directory

National Provider Directory

Locations

23 S Arch St
Milton, PA 17847
Phone (570) 742-7507

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1093879629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S ARCH ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178471142",
            "telephone_number": "570-742-7507",
            "fax_number": "570-742-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S ARCH ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178471142",
            "telephone_number": "570-742-7507",
            "fax_number": "570-742-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F. FETTERMAN, O.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "FETTERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-742-7507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.