Organization Active NPI

Copeland Fertig & Kramer Optometric Eye Associates LLP

  • Optometrist
  • Rye Brook, NY
National Provider Identifier
1578863569
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007355 Issued in NY
Legal business name
COPELAND FERTIG & KRAMER OPTOMETRIC EYE ASSOCIATES LLP
Practice address
204 S Ridge St
Rye Brook, NY 10573-3434
Phone
(914) 939-0830
NPI assigned
Oct 25, 2010
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. Jesse Fertig, O.D.
Title
Optometrist
Phone
91493908300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007355 NY Primary

Addresses

Primary practice location

204 S Ridge St
Rye Brook, NY 10573-3434

Mailing address

204 S Ridge St
Rye Brook, NY 10573-3434
Phone (914) 939-0830

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1578863569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S RIDGE ST",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105733434",
            "telephone_number": "914-939-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S RIDGE ST",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105733434",
            "telephone_number": "914-939-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPELAND FERTIG & KRAMER OPTOMETRIC EYE ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "FERTIG",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "91493908300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.