DR. FIDELIS NWAEZEAPU (NPI# 1104386234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104386234 |
| Entity Type | Individual |
| Full Name | DR. FIDELIS NWAEZEAPU |
| Credential | OD |
| Practice Address |
3518 Route 281 Cortland NY 13045-3579 |
| Practice Telephone | 6077562751 |
| Mailing Telephone | 6077562751 |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 008247 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 000 | SSN | 01 |
| Street Address |
3518 ROUTE 281 |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657401 | Empire Vision Center Inc | Optometrist | 3518 Route 281, Cortland, NY 13045-3579 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932351681 | Plaza Optometrists Inc. | Optometrist | 3018 State Route 5, Suite C, Cortland, OH 44410-9178 | 2008-10-14 |
| 1740481100 | Trumbull Optical Assc. Inc | Optometrist | 3018 State Route 5 Ste C, Cortland, OH 44410-9236 | 2007-05-31 |
| 1871664391 | Martin G Ellis | Optometrist | 3018 State Route C, Cortland, OH 44410 | 2006-11-13 |
| 1497704068 | Brian J Sirgany | Optometrist | 992 State Route 13, Cortland, NY 13045 | 2006-05-09 |
| 1881657401 | Empire Vision Center Inc | Optometrist | 3518 Route 281, Cortland, NY 13045-3579 | 2006-04-07 |
| 1134180854 | Martin Benjie Hirschhorn | Optometrist | Rte 13 & Rte 281, Empire Vision Centers, Cortland, NY 13045 | 2006-03-31 |
| 1215903505 | Michele M Barno-lemon | Optometrist | 1160 Tompkins St, Cortland, NY 13045-3578 | 2006-02-27 |
| 1679195531 | Sawyer Ellis | Optometrist | 3018 State Route 5 Ste C, Cortland, OH 44410-9178 | 2020-05-14 |
| 1265837173 | Dr. John Zoumis Ltd | Optometrist | 2016 Millennium Blvd, Cortland, OH 44410-9173 | 2014-11-04 |
| 1427468859 | Sirgany Eyecare, LLC | Optometrist | 201 Mclean Rd, Cortland, NY 13045-3509 | 2014-05-07 |
| Find all providers in CORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.