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CHARLES J FETTERMAN MD PC
NPI 1316004013
Ophthalmology in Lockport, NY

Active since January 02, 2007
70 PROFESSIONAL PKWY, LOCKPORT, NY 14094(716) 434-7505(716) 439-9084 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles J Fetterman Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES J FETTERMAN MD PC (NPI 1316004013) is a healthcare organization registered as an ophthalmology in Lockport, New York and active in the NPI registry since January 2007. The organization lists Cynthia A Weinheimer, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316004013
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCHARLES J FETTERMAN MD PC
Location Address70 PROFESSIONAL PKWYLockport, NY 14094-5366
Mailing Address70 Professional PkwyLockport, NY 14094-5366 · (716) 434-7505 · Fax (716) 439-9084
Phone(716) 434-7505
Fax(716) 439-9084
Organization SubpartNo
Authorized OfficialCynthia A WeinheimerOffice Manager · (716) 434-7505
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMay 21, 2010
✔ NPI 1316004013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in NY · 214954-1✔ Licensed in NY · 148889-1✔ Licensed in NY · 251762-1
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
70 PROFESSIONAL PKWY, Lockport, NY 14094
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Other Identifiers 2

Medicare NSC0883180001NY
Medicare PINAA0820NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Charles J Fetterman MD PC carries, from the Medicare DMEPOS supplier directory.

Charles J Fetterman MD PC

DMEPOS supplier · Lockport, NY
✔

Accepts Medicare assignment

Charles J Fetterman MD PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20617661
Medicare Participant SinceFebruary 9, 2001
Supplier Location70 Professional PkwyLockport, NY 14094
Phone(716) 434-7505
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS JOHN GESCHWENDER
Technician/Technologist (Optician)
70 PROFESSIONAL PKWY
LOCKPORT, NY 14094
Niagara County (716) 434-0021
ANDREA M BUCCILLI MD
Ophthalmology
70 PROFESSIONAL PKWY
LOCKPORT, NY 14094
Niagara County (716) 434-7505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles J Fetterman MD PC's NPI number?

The NPI number for Charles J Fetterman MD PC is 1316004013. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Charles J Fetterman MD PC located?

Charles J Fetterman MD PC is located at 70 Professional Pkwy, Lockport, NY 14094. The listed phone number is (716) 434-7505.

What is Charles J Fetterman MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Charles J Fetterman MD PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Charles J Fetterman MD PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Charles J Fetterman MD PC accept?

Health plans from BlueCross BlueShield of Tennessee list Charles J Fetterman MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles J Fetterman MD PC was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.