MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) – Optician, NPI 1093790941

MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) is a healthcare provider. based in Oregon, Ohio. specializing in Optician. They hold the professional credentials LICENSED OPTICIAN. They hold a License No. SC2077 (OH). The NPI Number for MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) is 1093790941

Main info

Male
Sole Proprietor
Name
MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN)
NPI
1093790941
Phone
(419) 693-3376
Address
2737 NAVARRE AVE STE 204
Enumeration Date
14 December 2005
Last Update Date
28 January 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN)

  • Navarre Avenue, Booth, Oregon, Lucas County, Ohio, 43412, United States

    OREGON, OH 436163276

    Phone: (419) 693-3376

    Fax: (419) 693-7519

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43616)

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Reviews

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Frequently asked questions

How is MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) identified in CMS data?
CMS-hosted NPPES data lists MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) with NPI 1093790941.
Is MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) listed as active for patients and plans?
The listing shows MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) as active in the NPI system.
What is MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN)'s primary classification?
Optician is the headline specialty for MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) on a map?
Expect Oregon, Ohio as a primary anchor for MR. WILFRED JAMES FENNEWALD (LICENSED OPTICIAN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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