Active NPI
Gary Paul Feen, OPTICIAN
- Optician
- Springfield, MA
National Provider Identifier
1295930758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1299
- Practice address
- 289 Bridge Street
Springfield, MA 01103 - Phone
- (413) 737-3303
- Fax
- (413) 739-5596
- NPI assigned
- Jun 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 1299 | MA | Primary |
Addresses
Primary practice location
289 Bridge Street
Springfield, MA 01103
Mailing address
289 Bridge Street
Springfield, MA 01103
Phone (413) 737-3303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513125 | Medicaid | MA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1299 | MA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295930758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 BRIDGE STREET",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01103",
"telephone_number": "413-737-3303",
"fax_number": "413-739-5596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 BRIDGE STREET",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01103",
"telephone_number": "413-737-3303",
"fax_number": "413-739-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEEN",
"first_name": "GARY",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "1299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513125",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.