Active NPI
Gail A Fedak, OD
- Optometrist
- Painesville, OH
National Provider Identifier
1912037664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3466
- Practice address
- 70 N St Clair St
Painesville, OH 44077 - Phone
- (440) 352-3339
- Fax
- (440) 352-0013
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3466 | OH | Primary |
Addresses
Primary practice location
70 N St Clair St
Painesville, OH 44077
Mailing address
70 N St Clair St
Painesville, OH 44077
Phone (440) 352-3339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3466 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1912037664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 N ST CLAIR ST",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "44077",
"telephone_number": "440-352-3339",
"fax_number": "440-352-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 N ST CLAIR ST",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "44077",
"telephone_number": "440-352-3339",
"fax_number": "440-352-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDAK",
"first_name": "GAIL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.