Felicia A Fodera, O.D.
Individual provider Active NPI Optometrist · Castle Point, NY
NPI 1710093059 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710093059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- VUT005382-1 (NY)
- Practice address
- Route 9D
Castle Point, NY 12511 - Phone
- (845) 831-2000
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT005382-1 | NY | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT005382-1 | NY | Yes |
Addresses
Primary practice location
Route 9D
Castle Point, NY 12511
Mailing address
14 Quarry Ridge Road
Sandy Hook, CT 06482
Phone (203) 426-1414
Other providers in Castle Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.