National Provider Identifier
Charles J Fetterman, MD
Charles J Fetterman, MD is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Lockport, NY and a listed phone number of (716) 434-7505.
Profile Overview
- NPI
- 1922038785
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- July 04, 2006
- Last Updated
- March 28, 2023
Practice Location
- 70 Professional Parkway
- Lockport, NY 14094-5366
Phone: (716) 434-7505
Specialties
- Ophthalmology Physician (207W00000X)
Endpoints
- cfetterman@fetterman.intellechartdirect.net
Direct Messaging Address | Lockport, NY 14094
Full Record
- NPI
- 1922038785
- Entity Type
- Individual
- Last Name
- Fetterman
- First Name
- Charles
- Middle Name
- J
- Credential
- MD
- Mailing Street Address
- 70 Professional Parkway
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-5366
- Mailing Country
- US
- Mailing Phone
- (716) 434-7505
- Mailing Fax
- (716) 439-9084
- Practice Street Address
- 70 Professional Parkway
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-5366
- Practice Country
- US
- Practice Phone
- (716) 434-7505
- Practice Fax
- (716) 439-9084
- Enumeration Date
- July 04, 2006
- Last Updated
- March 28, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 01, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)
- Other Identifiers
- 02246591 (NY)