NPIMap

Organization Active NPI

Fischer Laser Eye Center, LLC

Doing business as Family Eye Center

  • Optometrist
  • Litchfield, MN
National Provider Identifier
1104016377
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5545930 Issued in MN
Legal business name
FISCHER LASER EYE CENTER, LLC
Doing business as
Family Eye Center
Practice address
715 N Sibley Ave
Litchfield, MN 55355-1765
Phone
(320) 593-2020
Fax
(320) 593-0402
NPI assigned
Jul 25, 2007
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Dr. Jeffrey L Fischer, M.D.NPI 1386693604
Title
Provider/Owner
Phone
(320) 235-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5545930 MN Primary

Addresses

Primary practice location

715 N Sibley Ave
Litchfield, MN 55355-1765

Mailing address

715 N Sibley Ave
Litchfield, MN 55355-1765
Phone (320) 593-2020

Other names 1

  • Family Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000216 MN Part B Supplier - Clinic/Group Practice 6406756295 Receives reassigned benefits from 9 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New London, MN; Willmar, MN; Redwood Falls, MN; Paynesville, MN; Olivia, MN; Montevideo, MN; Litchfield, MN

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

517 N Sibley Ave
Litchfield, MN 55355
Phone (320) 593-2020

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1104016377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N SIBLEY AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553551765",
            "telephone_number": "320-593-2020",
            "fax_number": "320-593-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N SIBLEY AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553551765",
            "telephone_number": "320-593-2020",
            "fax_number": "320-593-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISCHER LASER EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "320-235-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "5545930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Litchfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.