Individual provider · NPI-1
Andrew Fisher
Optometrist · Loveland, OH
NPI number1407204282
StatusActive
Last updated in NPPESJun 2, 2016
Details
- NPI
- 1407204282
- Entity type
- Individual (NPI-1)
- Name
- Andrew Fisher
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2016
- Last updated
- Jun 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 6454 T3371 | OH | Yes |
Practice location
10566 Loveland Madeira RdLoveland, OH 45140-8962
Phone 513-683-3791 · Fax 513-683-0366
Mailing address
15933 Clayton Rd Ste 201Ballwin, MO 63011-2172
Phone 636-200-4393 · Fax 636-527-0838
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