Dr. Dennis I. Fetch O.D,P.a

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1081 Issued in FL

Legal business name

DR. DENNIS I. FETCH O.D,P.A

Practice address

5200 N Federal Hwy
4
Fort Lauderdale, FL 33308-3253

Phone

(954) 491-6663

Fax

(954) 491-6697

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Ivan Fetch, ODNPI 1992843783

Title

Owner Doctor

Phone

(954) 491-6663

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Dennis Ivan Fetch, O.D.,P.A

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1992843783
  Authorized official Same address or phone

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316063043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N FEDERAL HWY",
            "address_2": "4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083253",
            "telephone_number": "954-491-6663",
            "fax_number": "954-491-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N FEDERAL HWY",
            "address_2": "4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083253",
            "telephone_number": "954-491-6663",
            "fax_number": "954-491-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENNIS I. FETCH O.D,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FETCH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "954-491-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.