NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jesse Jacob Fertig, OD

Optometrist in Kew Gardens, NY · enumerated 2006 · practices at Lens Express Optical, Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366557738

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Mr. Jesse Jacob Fertig
Credential OD
Sex Male
Practice address 12430 Queens Blvd, Kew Gardens, NY, 11415
Phone (718) 261-2344
Enumeration date Aug 19, 2006
Last updated in NPPES Mar 6, 2023

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 3702-35 (WI) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 346002045 (IL) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License TPOP68 (FL) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 105426 (IA) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 0618002935 (VA) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License TUV007355 (NY) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jesse Fertig?
The National Provider Identifier (NPI) for Jesse Fertig is 1366557738, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jesse Fertig practice?
The practice location on file with NPPES is in Kew Gardens, NY. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-06.