MR. JESSE JACOB FERTIG OD
NPI 1366557738
Optometrist in Kew Gardens, NY

Active since August 19, 2006PECOS Enrolled
12430 QUEENS BLVD, KEW GARDENS, NY 11415(718) 261-2344 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jesse Jacob Fertig Od NPPES

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

MR. JESSE JACOB FERTIG OD (NPI 1366557738) is an individual optometrist in Kew Gardens, New York, licensed in New York (TUV007355) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366557738
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. JESSE JACOB FERTIGCredential: OD
Location Address12430 QUEENS BLVDKew Gardens, NY 11415-1501
Mailing Address12430 Queens BlvdKew Gardens, NY 11415-1501 · (718) 261-2344
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
NPI 1366557738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NY · TUV007355 Licensed in WI · 3702-35 Licensed in IL · 346002045 Licensed in FL · TPOP68 Licensed in IA · 105426 Licensed in VA · 0618002935
Definition

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.

12430 QUEENS BLVD, Kew Gardens, NY 11415

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jesse Jacob Fertig Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Eyewear Supplier
12430 QUEENS BLVD
KEW GARDENS, NY 11415
Technician/Technologist (Optician)
12430 QUEENS BLVD
KEW GARDENS, NY 11415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366557738, enumerated as an "individual" on August 19, 2006.

The provider is located at 12430 QUEENS BLVD KEW GARDENS, NY 11415 and the phone number is (718) 261-2344.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.