Active NPI
Holly Rebecca Fisher, O.D.
- Optometrist
- Oviedo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC003166
- Practice address
- 1783 E Broadway St
Oviedo, FL 32765-9744 - Phone
- (407) 971-1001
- Fax
- (407) 971-1002
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC003166 | FL | Primary |
Addresses
Primary practice location
1783 E Broadway St
Oviedo, FL 32765-9744
Mailing address
313 Bahia Cir
Longwood, FL 32750-3439
Phone (407) 331-1730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050830000339 | FL | Practitioner - Optometry | 5991736043 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vision Source Oviedo, IncVision Source Maitland, LLC
Practice addresses (Care Compare)
1020 Lockwood Blvd
Oviedo, FL 32765-6027
Phone (407) 971-1001
238 S Orlando Ave
Maitland, FL 32751-5604
Phone (407) 971-1001
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC003166 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Source Maitland, LLC | Optometrist | Current | Accepting new patients |
| Vision Source Maitland, LLC | Optometrist | Current | Accepting new patients |
| Vision Source Maitland, LLC | Optometrist | Current | Accepting new patients |
| Vision Source Maitland, LLC | Past | Accepting new patients |
Locations
238 S Orlando Ave
Maitland, FL 32751
Phone (407) 971-1001
1020 Lockwood Blvd
Oviedo, FL 32765
Phone (407) 971-1001
1783 E Broadway St
Oviedo, FL 32765
Phone (407) 971-1001
1305 Tree Swallow Dr
Winter Springs, FL 32708
Phone (407) 971-1001
Interoperability endpoints
- hollyfisher@direct.revolutionehr.com
- holly.fisher@direct.revolutionehr.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Winter Springs, FL
- NPI 1891582714
-
- Medical Specialty Clinic/Center
- Oviedo, FL
- NPI 1154124642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003963307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 BAHIA CIR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327503439",
"telephone_number": "407-331-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1783 E BROADWAY ST",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659744",
"telephone_number": "407-971-1001",
"fax_number": "407-971-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "HOLLY",
"middle_name": "REBECCA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC003166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.