Individual provider Active NPI

Holly Rebecca Fisher, O.D.

  • Optometrist
  • Oviedo, FL
National Provider Identifier
1003963307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC003166 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, IncGroup PAC ID 3375574429, 4 clinicians
Vision Source Maitland, LLCGroup PAC ID 8921545369, 4 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC003166FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Source Maitland, LLC Optometrist CurrentSince Oct 1, 1998 Accepting new patients
Vision Source Maitland, LLC Optometrist CurrentSince Feb 20, 2025 Accepting new patients
Vision Source Maitland, LLC Optometrist CurrentSince Feb 20, 2025 Accepting new patients
Vision Source Maitland, LLC PastSince Apr 6, 2025 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

  • Direct secure messaging: hollyfisher@direct.revolutionehr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.