Fertig, Jesse Jacob

Fertig, Jesse Jacob is an individual health care provider with primary practice located at 12430 Queens Blvd , Kew Gardens NY 11415-1501. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fertig, Jesse Jacob can be contacted via phone (718) 261-2344.

Contact Information

Primary practice address
12430 Queens Blvd Kew Gardens NY 11415-1501
Phone: (718) 261-2344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3702-35 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 346002045 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X TPOP68 Florida
Eye and Vision Services Providers / Optometrist 152W00000X 105426 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 0618002935 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X TUV007355 New York

Profile Details

NPI number 1366557738
LBN Legal business name Fertig, Jesse Jacob
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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