Gary Andre Fiebig, D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2428SL1193 Issued in CA

Practice address

8354 Reseda Blvd
Northridge, CA 91324-4619

Phone

(818) 701-5367

Fax

(818) 886-0545

NPI assigned

May 18, 2007

Last updated

Feb 8, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Garys Custom Optik Inc

  • Durable Medical Equipment & Medical Supplies
  • Northridge, CA
  • NPI 1881862811

  Optician

  NPD Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1326256744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8354 RESEDA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244619",
            "telephone_number": "818-701-5367",
            "fax_number": "818-886-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8354 RESEDA BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244619",
            "telephone_number": "818-701-5367",
            "fax_number": "818-886-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEBIG",
        "first_name": "GARY",
        "middle_name": "ANDRE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "2428SL1193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ82127Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Jillian Fernandez
• Linda Fernandez, NP
• Gilbert Rienzie Fernando, M.D.
• Isaac Franchesco Ferrufino
• Katelyn Fick
• Miranda Fierro, LCSW
• Jennifer Figueroa
• Joanne Fine, RDHAP
• Megan Hua Finkelberg
• Vanessa Kurata Finley, MPT

• Optician in Northridge, CA
• Providers in Northridge, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.