Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jesse Jacob Fertig, OD

Individual provider Optometrist · NPI 1366557738

Mr. Jesse Jacob Fertig, OD is an Optometry in Kew Gardens, New York. Graduated from State University of New York - State College Optometry in 2001, 25 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Florida, Iowa, Illinois and New York and 2 more.

Years since qualifying
25
Trained at
State University of New York - State College Optometry
Licensed in
FL, IA, IL, NY, VA, WI
In the registry since
2006
Specialties on file
6
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

12430 Queens Blvd
Kew Gardens, NY 11415-1501
Phone: (718) 261-2344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007355 (NY)
Optometrist Taxonomy 152W00000X · Licence 3702-35 (WI)
Optometrist Taxonomy 152W00000X · Licence 346002045 (IL)
Optometrist Taxonomy 152W00000X · Licence TPOP68 (FL)
Optometrist Taxonomy 152W00000X · Licence 105426 (IA)
Optometrist Taxonomy 152W00000X · Licence 0618002935 (VA)

Record details

NPI number1366557738
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2001 (25 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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