Craig a Fidler OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1638 Issued in FL

Legal business name

CRAIG A FIDLER OD PA

Doing business as

Fidler EyeCare

Practice address

2120 S Federal Hwy
Fort Lauderdale, FL 33316-3545

Phone

(954) 467-3777

Fax

(954) 463-7643

NPI assigned

May 19, 2010

Last updated

Apr 11, 2012By 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. Craig Allen Fidler, O.D.NPI 1417067851

Title

President

Phone

(954) 467-3777

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Fidler EyeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Craig Allen Fidler, O.D.

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1417067851
  Medicare reassignment NPD Authorized official
• Jade Pestritto, OD

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1063146058
  Medicare reassignment NPD

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1942529714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 S FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163545",
            "telephone_number": "954-467-3777",
            "fax_number": "954-463-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163545",
            "telephone_number": "954-467-3777",
            "fax_number": "954-463-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A FIDLER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-467-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1638",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC1638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD CERTIFICATION #",
            "identifier": "OPC1638",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fidler EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pedro Rafael Cox-Alomar, M.D.
• Ashley Nicole Cox, MA, LMHC
• Kirsten Coyle, PHARMD
• CR8 Medical FTL LLC
• Marion Crabb
• Kaleigh Craig, RN, IBCLC
• Lindsay Louise Craig, PHD
• Allen Leonard Cramer, RPH
• Cranial Kids Orthosis, Inc
• Crawford Center, Inc. (The Chrysalis Center)

• Optometrist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.