Fidelis Nwaezeapu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

008247 Issued in NY

Practice address

3518 Route 281
Cortland, NY 13045-3579

Phone

(607) 756-2751

NPI assigned

Mar 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Empire Vision Center Inc

  dba Empire Vision Centers

  • Technician/Technologist
  • Cortland, NY
  • NPI 1881657401

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1104386234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 ROUTE 281",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453579",
            "telephone_number": "607-756-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 ROUTE 281",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453579",
            "telephone_number": "607-756-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAEZEAPU",
        "first_name": "FIDELIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000",
            "identifier": "SSN",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Bolduc Norris, NP
• Kathryn Norton, LMSW
• Joanna Novakovic, MFT-LP
• Monica Novello, R.PH.
• Melanie Novick, NPP
• Ny Neuromuscular Healthcare, P.C.
• Rebecca J O'Donnell
• Observation Medicine Physicians of Cortland County, PLLC
• Obstetric and Gynecologic Assoc of Cortland MD PC
• In Whan Oh, MD

• Optometrist in Cortland, NY
• Providers in Cortland, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.