Individual provider Active NPI

Jennifer Ann Fester, O.D.

  • Optometrist
  • Queensbury, NY
National Provider Identifier
1902177926
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002514 Issued in PA
Practice address
870 State Route 9
Northway Plaza - Empire Vision Centers
Queensbury, NY 12804-1767
Phone
(518) 745-1200
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002514 PA Primary

Addresses

Primary practice location

870 State Route 9
Northway Plaza - Empire Vision Centers
Queensbury, NY 12804-1767

Mailing address

82 Sidler LN
Danville, PA 17821-9309
Phone (814) 932-1345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121121000344 NY Practitioner - Optometry 0840441887 Reassigns benefits to 1 organization
I20231027001360 PA Practitioner - Optometry 0840441887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Sep 12, 2023 Accepting new patients
Visionworks, Inc CurrentSince Sep 12, 2023 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Jan 23, 2021 Accepting new patients
Empire Vision Center, Inc CurrentSince Jan 23, 2021 Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients

Locations

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

820 Route 9
Ste 1308
Queensbury, NY 12804
Phone (518) 745-1200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1902177926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SIDLER LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219309",
            "telephone_number": "814-932-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 STATE ROUTE 9",
            "address_2": "NORTHWAY PLAZA - EMPIRE VISION CENTERS",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041767",
            "telephone_number": "518-745-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.