THEODORE PETER FORTUNA (NPI# 1649220013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649220013 |
| Entity Type | Individual |
| Full Name | THEODORE PETER FORTUNA |
| Credential | OPHTHALMIC DISPENSER |
| Practice Address |
113 Main St Ste 2 Batavia NY 14020 |
| Practice Telephone | 5853441345 |
| Mailing Telephone | 5853441345 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
5041 | NY | Eye and Vision Services Providers |
| Street Address |
113 MAIN ST STE 2 |
| City | BATAVIA |
| State | NY |
| Zip Code | 14020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544764 | Alyssa Lynn Fortuna | Optometrist | 113 Main St, Batavia, NY 14020-2100 | 2020-06-30 |
| 1942504394 | Independent Living of Genesee Region | Case Management | 113 Main St, Suite 5, Batavia, NY 14020-2100 | 2010-12-28 |
| 1558332502 | Gerald Frisicaro | Nurse Practitioner | 113 Main St, Batavia, NY 14020-2100 | 2006-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
| 1770195604 | Mary M Pallister | Licensed Practical Nurse | 25 Liberty Street, Batavia, NY 14020 | 2020-08-21 |
| 1942824628 | Andrew J Burns | Registered Nurse | Ummc, 127 North St, Batavia, NY 14020 | 2020-05-29 |
| 1982241279 | Lucas Phillips | Physical Therapist | 99 Medtech Dr. Suite 104, Batavia, NY 14020 | 2019-12-05 |
| 1235776519 | Charles Foley | Physical Therapist | 99 Medtech Drive Sutie 104, Batavia, NY 14020 | 2019-12-05 |
| 1609350339 | Aimee E Landino | Physical Therapist | 99 Medtech Park, Suite 104, Batavia, NY 14020 | 2018-09-19 |
| 1225558463 | Wound Doctors of Ny Pllc | Surgery | 229 Summit Street, Suite 10, Batavia, NY 14020 | 2017-06-20 |
| 1780125468 | Sherrity L Disanto | Licensed Practical Nurse | 42 Clinton Street, Batavia, NY 14020 | 2017-03-15 |
| 1972041853 | Christine Faust | Student in an Organized Health Care Education/Training Program | 5120 East Main St. Rd., Suite 2, Batavia, NY 14020 | 2017-02-10 |
| 1326581000 | Genesee Center Operating | Skilled Nursing Facility | 278 Batavia Street, Batavia, NY 14020 | 2016-11-29 |
| Find all providers in zip 14020 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217451 | Luxeye Optical LLC | Technician/Technologist | 25121 Northern Blvd, Little Neck, NY 11362-1354 | 2020-08-25 |
| 1952946626 | Bryan Reshawn Trusell | Technician/Technologist | 252 Java St Ste 222, Brooklyn, NY 11222-5598 | 2019-11-16 |
| 1871058388 | Win Vision Boutique LLC | Technician/Technologist | 22 Clifton Country Rd Ste 175, Clifton Park, NY 12065-3864 | 2019-02-08 |
| 1639672058 | Eye Go Optical | Technician/Technologist | 989 Liberty Ave, Brooklyn, NY 11208-2731 | 2018-03-12 |
| 1508233214 | Nyc Optic | Technician/Technologist | 2135 Coney Island Ave, Brooklyn, NY 11223-3331 | 2015-08-28 |
| 1720468176 | Michelle Q Miu | Technician/Technologist | 219 Canal St Fl 3, New York, NY 10013-4114 | 2015-06-01 |
| 1871996504 | Paul Anthony Battiste Jr. | Technician/Technologist | 67 8th Ave, New York, NY 10014-1226 | 2014-10-08 |
| 1861838575 | Felicia Mateo I | Technician/Technologist | 2524 Radcliff Ave, Bronx, NY 10469-4206 | 2013-05-21 |
| 1730400169 | Bruce Alan Pfeffer | Technician/Technologist | 9 Old Post Rd, Fairport, NY 14450-2920 | 2010-06-21 |
| 1720319312 | Marvin Slomowitz | Technician/Technologist | 1221 E 9th St, Brooklyn, NY 11230-5107 | 2010-01-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THEODORE PETER FORTUNA.
| 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.