DR. JEROME ALLAN FAY O.D. NPI 1659335289

NPI Information

  • NPI: 1659335289
  • Provider Name: DR. JEROME ALLAN FAY, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1560 UNIVERSITY AVE W
    SAINT PAUL, MN
    ZIP 55104
  • Phone: (651) 646-8889

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NPI Details

DR. Jerome Allan Fay, O.D. is an optometrist in Saint Paul, MN. The provider is 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. DR. Jerome Allan Fay, O.D. NPI is 1659335289. 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:

1560 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104-908
Phone: (651) 646-8889
Fax: (651) 646-3761

The NPI 1659335289 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/12/2006 and was last updated on 10/24/2011.

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
1152W00000XOptometrist2684MINNESOTAYes

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
1U82618MEDICARE UPINMINNESOTA
232F04FAOTHERMINNESOTABLUE CROSS/BLUE SHIELD
3MEDICAL ASSISTANCEOTHERMINNESOTAMINNESOTA
42201029OTHERMINNESOTAMEDICA
5410001504MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
6140179OTHERMINNESOTAUCARE
740288OTHERMINNESOTACOLE MANAGED VISION

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: 11/21/2025

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