Fred NMN Fisch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-000618 Issued in AZ

Practice address

1940 S Country Club Dr Ste 102
Mesa, AZ 85210-6042

Phone

(480) 834-6367

Fax

(480) 834-7277

NPI assigned

Jul 9, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Eye Care PCGroup PAC ID 4789678301, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• NM HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Eye Care PC

  • Optometrist
  • Phoenix, AZ
  • NPI 1447226295
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Washington, PLLC

  dba MyEyeDr.

  • Optometrist
  • Phoenix, AZ
  • NPI 1053156729
  Medicare reassignment NPD (past)
• Myeyedr Optometry of Washington, PLLC

  dba MyEyeDr.

  • Optometrist
  • Tucson, AZ
  • NPI 1164305579
  NPD
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Ogden, UT
  • NPI 1942151998
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003814419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 S COUNTRY CLUB DR STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106042",
            "telephone_number": "480-834-6367",
            "fax_number": "480-834-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCH",
        "first_name": "FRED",
        "middle_name": "NMN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2026-07-13",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-000618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Nations Limb Preservation Foundation
• First Royal Care Co LLC (Red Mountain Compounding Pharmacy)
• First Step Recovery LLC
• Firstlight Home Care of Apache Junction, Az
• Firt Med
• Nathan Fischer, M.S. PA-C
• Elizabeth Joy Fisher, MD
• Kayla Fisher, DPT
• Keosha Lee Fisher
• Kristen Fisher

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.