EDWARD FETHEROLF M D P A
NPI 1730378282
Ophthalmology in Englewood, FL

Active since October 22, 2007
1500 PLACIDA RD, SUITE B2, ENGLEWOOD, FL 34223(941) 474-2266(941) 475-7274 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Fetherolf M D P A NPPES

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

EDWARD FETHEROLF M D P A (NPI 1730378282) is a healthcare organization registered as an ophthalmology in Englewood, Florida and active in the NPI registry since October 2007. The organization lists Edward C Fetherolf, President, as its authorized official.

NPPES Registry Identity

NPI1730378282
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEDWARD FETHEROLF M D P A
Location Address1500 PLACIDA RD, SUITE B2Englewood, FL 34223-4955
Mailing Address1500 Placida Rd, Suite B2Englewood, FL 34223-4955 · (941) 474-2266 · Fax (941) 475-7274
Fax(941) 475-7274
Organization SubpartNo
Authorized OfficialEdward C FetherolfPresident · (941) 474-2266
Enumeration DateOctober 22, 2007
Last NPPES UpdateMay 13, 2015
NPI 1730378282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME30596
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.
1500 PLACIDA RD, Englewood, FL 34223

Other Identifiers 3

Medicare UPIND56921FL
Medicare PINK5475FL
Medicaid374759000FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Physical Therapist (Orthopedic)
1500 PLACIDA RD, UNIT F 5
ENGLEWOOD, FL 34223
Physical Therapist
1500 PLACIDA RD, UNIT F-5
ENGLEWOOD, FL 34223
Pharmacist
1500 PLACIDA RD
ENGLEWOOD, FL 34223

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 Edward Fetherolf M D P A's NPI number?

The NPI number for Edward Fetherolf M D P A is 1730378282. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Edward Fetherolf M D P A located?

Edward Fetherolf M D P A is located at 1500 Placida Rd Suite B2, Englewood, FL 34223. The listed phone number is (941) 474-2266.

What is Edward Fetherolf M D P A's specialty?

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

When was this NPI record last updated?

The NPPES record for Edward Fetherolf M D P A was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.