MR. GARY PAUL FEEN OPTICIAN NPI 1295930758

NPI Information

NPI: 1295930758
Provider Name: MR. GARY PAUL FEEN, OPTICIAN
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
289 BRIDGE STREET
SPRINGFIELD, MA
ZIP 01103
Phone: (413) 737-3303
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MR. Gary Paul Feen, OPTICIAN is an optician technician technologist in Springfield, MA. MR. Gary Paul Feen, OPTICIAN NPI is 1295930758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

289 BRIDGE STREET
SPRINGFIELD, MA
ZIP 01103
Phone: (413) 737-3303
Fax: (413) 739-5596

The enumeration date for this NPI number is 6/15/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	1299	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	133454	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	1513125	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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