Organization Active NPI

Frederick J Fouquet OD PC & Kevin B Wynne PTRS

  • Durable Medical Equipment & Medical Supplies
  • Pittsford, NY
National Provider Identifier
1649317389
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREDERICK J FOUQUET OD PC & KEVIN B WYNNE PTRS
Practice address
56 State St
Pittsford, NY 14534-2344
Phone
(585) 381-4640
Fax
(585) 381-3322
NPI assigned
Jan 31, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mrs. Elizabeth Wynne
Title
Office Manager
Phone
(585) 381-4640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

56 State St
Pittsford, NY 14534-2344

Mailing address

56 State St
Pittsford, NY 14534-2344
Phone (585) 381-4640

National Provider Directory

National Provider Directory
Tax ID family
Frederick J Fouquet OD PC Kevin B Wynne OD PTRS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1649317389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 STATE ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342344",
            "telephone_number": "585-381-4640",
            "fax_number": "585-381-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 STATE ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342344",
            "telephone_number": "585-381-4640",
            "fax_number": "585-381-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK J FOUQUET OD PC & KEVIN B WYNNE PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-381-4640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

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