Active NPI
Fred J Bresler
- Optometrist
- Watertown, NY
National Provider Identifier
1497842405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003336
- Practice address
- 1246 Arsenal St
Watertown, NY 13601 - Phone
- (315) 782-2600
- Fax
- (315) 782-3010
- NPI assigned
- Oct 10, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003336 | NY | Primary |
Addresses
Primary practice location
1246 Arsenal St
Watertown, NY 13601
Mailing address
1246 Arsenal St
Watertown, NY 13601
Phone (315) 782-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080712000093 | NY | Practitioner - Optometry | 8426120189 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003336 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred J. Bresler O.D.P.C. | Optometrist | Current | Accepting new patients |
Locations
1246 Arsenal St
Watertown, NY 13601
Phone (315) 782-2600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1497842405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1246 ARSENAL ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "13601",
"telephone_number": "315-782-2600",
"fax_number": "315-782-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1246 ARSENAL ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "13601",
"telephone_number": "315-782-2600",
"fax_number": "315-782-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESLER",
"first_name": "FRED",
"middle_name": "J",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.