Mary W. Fedus, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

00#1003 Issued in CT

Practice address

475 Hartford Rd
New Britain, CT 06053-1524

Phone

(860) 826-1052

Fax

(860) 826-7047

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1295869832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HARTFORD RD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531524",
            "telephone_number": "860-826-1052",
            "fax_number": "860-826-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HARTFORD RD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531524",
            "telephone_number": "860-826-1052",
            "fax_number": "860-826-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDUS",
        "first_name": "MARY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "00#1003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Faustini, M.D.
• Gregory Matthew Fauteux, MD
• Lynn Fazzino, PT
• Rohena Fearon
• Carly Fedor
• Edward J Feinglass, M.D.
• Monica Feldman, PA-C
• Kevin J Felice, D.O.
• Alexandra Feliciano, LCSW
• Maria Luisa Feliciano, LMSW

• Optometrist in New Britain, CT
• Providers in New Britain, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.