G B Fisher III DO PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

OS7853 Issued in FL

Legal business name

G B FISHER III DO PA

Practice address

875 105 Ave North
Naples, FL 34108

Phone

(239) 431-7070

Fax

(239) 431-7075

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

George Brit Fisher III, D.O.

Title

Owner

Phone

(239) 431-7070

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FISHER EYE AND LASER CENTER Doing business as

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1124253398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 105TH AVE NORTH",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34108",
            "telephone_number": "239-431-7070",
            "fax_number": "239-431-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 105 AVE NORTH",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34108",
            "telephone_number": "239-431-7070",
            "fax_number": "239-431-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G B FISHER III DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BRIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-431-7070",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS7853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "49530",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256757100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FISHER EYE AND LASER CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.