Jeffrey M Fine, LIC. OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

001105 Issued in CT

Practice address

506 Main St
Middletown, CT 06457-2810

Phone

(860) 347-4443

Fax

(860) 347-4443

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356460885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572810",
            "telephone_number": "860-347-4443",
            "fax_number": "860-347-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572810",
            "telephone_number": "860-347-4443",
            "fax_number": "860-347-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LIC. OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CT",
            "license": "001105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew R Fernandez, PA-C
• Christopher Ferrante, CAC, CADC
• Madison Feshler, LPC
• Geovanna Fiallos, APRN
• Alina Filozov, D.O.
• Kristin Finigan, APRN
• Mia Elana Fischbein, DO
• Julie S Flagg III
• Heather Flaum, LMSW
• John E Fleming, D.C.

• Optician in Middletown, CT
• Providers in Middletown, CT by specialty
• Optician in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.