Provider Demographics
NPI:1841340783
Name:FEUER, DENNIS H (OD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:H
Last Name:FEUER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4879 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-4627
Mailing Address - Country:US
Mailing Address - Phone:561-689-5000
Mailing Address - Fax:561-689-5000
Practice Address - Street 1:4879 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-4627
Practice Address - Country:US
Practice Address - Phone:561-689-5000
Practice Address - Fax:561-689-5000
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 1267152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU30594Medicare UPIN
19126Medicare ID - Type Unspecified