MR. GARY PAUL FEEN


Address: 289 Bridge Street, Springfield, MA 01103
Phone: 4137373303

MR. GARY PAUL FEEN (NPI# 1295930758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295930758
Entity Type Individual
Full Name MR. GARY PAUL FEEN
Credential OPTICIAN
Practice Address 289 Bridge Street
Springfield
MA 01103
Practice Telephone 4137373303
Practice Fax Number 4137395596
Mailing Telephone 4137373303
Mailing Fax Number 4137395596
Enumeration Date 2007-06-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
1299 MA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 1513125 05

Office Location

Street Address 289 BRIDGE STREET
City SPRINGFIELD
State MA
Zip Code 01103

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1528467248 Amanda M Galloway Physician Assistant 1038-1050 Main St, Springfield, MA 01103 2014-08-19
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1932234341 Mark R Heffington Technician/Technologist 1550 E Battlefield St Ste J, Springfield, MO 65804-3700 2007-02-23
1689720328 Edmund A Hasenjager Technician/Technologist 352 Cooley St, Springfield, MA 01128-1144 2007-01-26
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1912300260 Eric Eisinger Technician/Technologist 932 W Columbia St, Springfield, OH 45504-2738 2014-10-01
1285068320 Patrick Mccormack Technician/Technologist 289 Bridge St, Springfield, MA 01103-1409 2013-08-26
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Competitor

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City SPRINGFIELD
Zip Code 01103

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Dataset Information

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.

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