Individual provider Active NPI

Drew Prescott Fessenden, O.D.

  • Optometrist
  • Sarasota, FL
National Provider Identifier
1518091677
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3541 Issued in FL
Practice address
4006 S Tamiami TRL
Sarasota, FL 34231-3624
Phone
(941) 924-2337
NPI assigned
Mar 14, 2007
Last updated
Jun 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3541 FL Primary

Addresses

Primary practice location

4006 S Tamiami TRL
Sarasota, FL 34231-3624

Mailing address

4006 S Tamiami TRL
Sarasota, FL 34231-3624
Phone (941) 924-2337

Other identifiers 1

IdentifierTypeStateIssuer
E79432OtherFLPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000213 FL Practitioner - Optometry 5193893410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4114 S Tamiami TRL
Sarasota, FL 34231-3626
Phone (941) 921-4473

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3541FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Fessenden & Carr PA Optometrist CurrentSince Dec 1, 2001 Accepting new patients
DRS Fessenden & Carr P a Optometrist CurrentSince Dec 1, 2001 Accepting new patients
Venice Vision LLC Current Accepting new patients

Locations

7313 52nd Pl E
Bradenton, FL 34203
Phone (941) 758-3264

4006 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 921-4473

4114 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 921-4473

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1518091677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313624",
            "telephone_number": "941-924-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313624",
            "telephone_number": "941-924-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESSENDEN",
        "first_name": "DREW",
        "middle_name": "PRESCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "E79432",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.