Individual provider Active NPI

Jaclynn Rose Fisher, O.D.

  • Optometrist
  • Gainesville, TX
National Provider Identifier
1023262102
Registry record updated Nov 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7210TG Issued in TX
Practice address
2020 W Highway 82
Gainesville, TX 76240-2051
Phone
(940) 612-2020
NPI assigned
Nov 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7210TG TX Primary

Addresses

Primary practice location

2020 W Highway 82
Gainesville, TX 76240-2051

Mailing address

2020 W Highway 82
Gainesville, TX 76240-2051
Phone (940) 612-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090601000243 TX Practitioner - Optometry 3577612118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York Eye Associates, P.C.Group PAC ID 9234153651, 4 clinicians

Practice addresses (Care Compare)

2020 W Hwy 82
Gainesville, TX 76240-2051
Phone (940) 612-0085

Merit-based Incentive Payment System (MIPS)

Final score
68.15 of 100Reported as individual
Quality
54.64
Promoting interoperability
77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
York Eye Associates, P.C. Optometrist CurrentSince Jul 1, 2020 Accepting new patients

Locations

2020 W Highway 82
Gainesville, TX 76240
Phone (940) 612-0085

Organizations & group practices 1

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": "1226793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226793600000",
    "number": "1023262102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402051",
            "telephone_number": "940-612-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W HIGHWAY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402051",
            "telephone_number": "940-612-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JACLYNN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-16",
        "last_updated": "2008-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7210TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.