Active NPI
Alexander Joseph Fortier, MD
- Ophthalmology Physician
- Newington, CT
National Provider Identifier
1346350501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 018165
- Practice address
- 505 Willard Ave
Suite 2B
Newington, CT 06111-2630 - Phone
- (860) 667-0207
- Fax
- (860) 667-0207
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 018165 | CT | Primary |
Addresses
Primary practice location
505 Willard Ave
Suite 2B
Newington, CT 06111-2630
Mailing address
505 Willard Ave
Suite 2B
Newington, CT 06111-2630
Phone (860) 667-0207
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018165 | CT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1346350501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 WILLARD AVE",
"address_2": "SUITE 2B",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112630",
"telephone_number": "860-667-0207",
"fax_number": "860-665-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 WILLARD AVE",
"address_2": "SUITE 2B",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112630",
"telephone_number": "860-667-0207",
"fax_number": "860-667-0207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTIER",
"first_name": "ALEXANDER",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "018165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.