MR. PETER JOHN FEDORA L.O. NPI 1659493021

NPI Information

  • NPI: 1659493021
  • Provider Name: MR. PETER JOHN FEDORA, L.O.
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 236 N MAIN ST
    MANCHESTER, CT
    ZIP 06042
  • Phone: (860) 646-3577

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NPI Details

MR. Peter John Fedora, L.O. is an optician technician technologist in Manchester, CT. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MR. Peter John Fedora, L.O. NPI is 1659493021. 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:

236 N MAIN ST
MANCHESTER, CT
ZIP 06042-004
Phone: (860) 646-3577
Fax: (860) 643-9733

The enumeration date for this NPI number is 4/4/2007 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
1156FX1800XTechnician/TechnologistOptician000601CONNECTICUTYes

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
15020080001MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT

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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