DR. CRAIG ALLEN FIDLER (NPI# 1417067851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417067851 |
| Entity Type | Individual |
| Full Name | DR. CRAIG ALLEN FIDLER |
| Credential | O.D. |
| Practice Address |
2120 S Federal Hwy Fort Lauderdale FL 33316-3545 |
| Practice Telephone | 9544673777 |
| Practice Fax Number | 9544637643 |
| Mailing Telephone | 9544673777 |
| Mailing Fax Number | 9544637643 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC001638 | FL | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPC1638 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL BOARD CERTIFICATION # | OPC1638 | 01 |
| Street Address |
2120 S FEDERAL HWY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-3545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942529714 | Craig A Fidler Od Pa | Eyewear Supplier (Equipment, not the service) | 2120 S Federal Hwy, Fort Lauderdale, FL 33316-3545 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| 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 |
|---|---|---|---|---|
| 1316506876 | Richard Valdes | Optometrist | 4910 Sw 31st Ter, Fort Lauderdale, FL 33312-6905 | 2019-06-10 |
| 1447789011 | Quoc Nam Le Huynh | Optometrist | 2900 W Cypress Creek Rd Ste 1, Fort Lauderdale, FL 33309-1715 | 2017-06-07 |
| 1194130203 | Rhea Butchey | Optometrist | 2131 N Federal Hwy, Fort Lauderdale, FL 33305 | 2014-06-26 |
| 1073944278 | Heather Groves | Optometrist | 2466 E Commercial Blvd Ste 102, Fort Lauderdale, FL 33308-4011 | 2013-12-12 |
| 1194152470 | James M Normile Od Pa | Optometrist | 3401 W Sunrise Blvd, Fort Lauderdale, FL 33311 | 2013-10-02 |
| 1396937470 | Brandon William Cornish | Optometrist | 640 N Federal Hwy, Fort Lauderdale, FL 33304-4686 | 2007-08-13 |
| 1245420462 | Allen Taylor | Optometrist | 2900 West Cypress Creek Road, Suite 1, South Florida Vision, Fort Lauderdale, FL 33309 | 2007-07-25 |
| 1083713622 | Leslie A Draper | Optometrist | 2583 E Sunrise Blvd, Fort Lauderdale, FL 33304-3203 | 2006-09-21 |
| 1174558878 | Gary D. Enker | Optometrist | 6215 N Federal Hwy, Fort Lauderdale, FL 33308-1903 | 2006-07-11 |
| 1487697694 | James Normile | Optometrist | 3401 W. Sunrise Blvd, Fort Lauderdale, FL 33311 | 2006-06-14 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on DR. CRAIG ALLEN FIDLER.
| 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.