| Charles J Fetterman, MD | |
| 70 Professional Parkway, Lockport, NY 14094-5366 | |
| (716) 434-7505 | |
| (716) 439-9084 | 
| Full Name | Charles J Fetterman | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 70 Professional Parkway, Lockport, New York | 
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922038785 | NPI | - | NPPES | 
| 02246591 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207W00000X | Ophthalmology | 214954 (New York) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Charles J Fetterman, MD 70 Professional Parkway, Lockport, NY 14094-5366 Ph: (716) 434-7505 | Charles J Fetterman, MD 70 Professional Parkway, Lockport, NY 14094-5366 Ph: (716) 434-7505 | 
| Dr. Vivian Kudgus Fasula, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 70 Professional Parkway, Lockport, NY 14094 Phone: 716-434-7505 | |
| John W Crofts, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 23 Elizabeth Dr, Lockport, NY 14094 Phone: 585-343-8100 | |
| Andrea M Buccilli, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 70 Professional Pkwy, Lockport, NY 14094 Phone: 716-434-7505 Fax: 716-439-9084 |