Richard Foy Fenn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S922 TA489 Issued in AL

Practice address

600 Boll Weevil Cir
Wal-Mart Vison Center 734
Enterprise, AL 36330-2715

Phone

(334) 347-4144

Fax

(334) 347-4397

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386743813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BOLL WEEVIL CIR",
            "address_2": "WAL-MART VISON CENTER 734",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302715",
            "telephone_number": "334-347-4144",
            "fax_number": "334-347-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BOLL WEEVIL CIR",
            "address_2": "WAL-MART VISON CENTER 734",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302715",
            "telephone_number": "334-347-4144",
            "fax_number": "334-347-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "RICHARD",
        "middle_name": "FOY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S922 TA489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Optometrist in Alabama

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.