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Active NPI 1659493021 Individual Practitioner Male Practitioner

Peter John Fedora , LO

Technician/Technologist - Optician • Manchester, CT

Professional Overview & Biography Verified Profile Summary

Peter Fedora, LO is a registered healthcare professional specializing in Technician/Technologist - Optician in Manchester, CT. Practice services are available at 236 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

236 N Main St

Manchester, CT 060422004

Telephone 8606463577
Fax 8606439733
Associated Practice Facility / Clinic
🏢 Fedora Optical Inc Facility NPI 1750507380

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Manchester, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Manchester, CT (251 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License CT 000601

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Federal Taxpayer Id
06-1198912 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Ellen Roseen , LO

Technician/Technologist - Optician

NPI 1114591815

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 236 N MAIN ST, MANCHESTER, CT 060422004 (Tel: 8606463577)

📍
Updated Business Mailing Address July 08, 2007

Registered at 25 WHITE RD, TOLLAND, CT 060842541 (Tel: 8606463577)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER FEDORA, L.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Technician/Technologist (License #000601 in CT)

🟢
Initial NPI Registration & Enumeration April 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659493021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

25 White Rd

Tolland, CT 060842541

Phone: 8606463577

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.