Fred J. Bresler O.D.P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV 003336 Issued in NY

Legal business name

FRED J. BRESLER O.D.P.C.

Practice address

1246 Arsenal St
Watertown, NY 13601-2214

Phone

(315) 782-2600

Fax

(315) 782-3010

NPI assigned

Jun 16, 2008

Last updated

Apr 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fred J BreslerNPI 1497842405

Title

Owner

Phone

(315) 782-2600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Fred J Bresler

  • Optometrist
  • Watertown, NY
  • NPI 1497842405
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1730349374",
    "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": "136012214",
            "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": "136012214",
            "telephone_number": "315-782-2600",
            "fax_number": "315-782-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED J. BRESLER O.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "BRESLER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-782-2600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 003336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Forsythe, LPN
• Shannon Marie Foy, MS, OTR/L
• Patricia Fralick, CASAC
• Brett Frandsen, CRNA
• Delaney Frears
• Cara Frederick
• Caitlin Rebecca Freeman, MS,SLP-CF
• Corina Jo Freeman
• Erica Marie Freeman, LCSW
• Jessica Freeman

• Optometrist in Watertown, NY
• Providers in Watertown, NY by specialty
• Optometrist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.