Active NPI
Ihor N. Fedoriw, O.D.
- Optometrist
- Allentown, PA
National Provider Identifier
1306825591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001007
- Practice address
- 1320 W Hamilton St
Allentown, PA 18102-5057 - Phone
- (610) 434-1371
- Fax
- (610) 437-6982
- NPI assigned
- Jan 16, 2006
- 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 | OEG001007 | PA | Primary |
Addresses
Primary practice location
1320 W Hamilton St
Allentown, PA 18102-5057
Mailing address
1320 W Hamilton St
Allentown, PA 18102-5057
Phone (610) 434-1371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100902000861 | PA | Practitioner - Optometry | 0648394296 | Practice locations: Allentown, PA |
| O20100930023123 | PA | DME Supplier - Physician - Optometrist | 5193842854 | Practice locations: Allentown, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1320 W Hamilton St
Allentown, PA 18102-4315
Phone (610) 434-1371
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001007 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1306825591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 W HAMILTON ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181025057",
"telephone_number": "610-434-1371",
"fax_number": "610-437-6982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 W HAMILTON ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181025057",
"telephone_number": "610-434-1371",
"fax_number": "610-437-6982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDORIW",
"first_name": "IHOR",
"middle_name": "N.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.