Organization Active NPI

MTF P.C.

Doing business as Michael T. Fisher, O.D.

  • Optometrist
  • Richmond, IN
National Provider Identifier
1174635775
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002408A Issued in IN
Legal business name
MTF P.C.
Doing business as
Michael T. Fisher, O.D.
Practice address
1835 W Main St
Richmond, IN 47374-3821
Phone
(765) 488-0216
Fax
(765) 488-0654
NPI assigned
Aug 31, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Dr. Michael Thomas Fisher, ODNPI 1508978230
Title
Owner / President
Phone
(765) 488-0216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002408A IN Primary

Addresses

Primary practice location

1835 W Main St
Richmond, IN 47374-3821

Mailing address

1835 W Main St
Richmond, IN 47374-3821
Phone (765) 488-0216

Other practice location 1

3167 S State Road 3
New Castle, IN 47362-1318
Phone (765) 593-0788

Other practice location 2

4200 Western Ave
Connersville, IN 47331-3493
Phone (765) 692-3118

Other identifiers 1

IdentifierTypeStateIssuer
200527270MedicaidIN

Other names 1

  • Michael T. Fisher, O.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050808001141 IN Part B Supplier - Clinic/Group Practice 2668401860 Receives reassigned benefits from 1 practitioner
Practice locations: Connersville, IN; New Castle, IN; Richmond, IN
O20170127002692 IN DME Supplier - Physician - OptometristDME Supplier - Optician 2668401860 Practice locations: Richmond, IN

National Provider Directory

National Provider Directory

Locations

1835 W Main St
Richmond, IN 47374
Phone (765) 488-0216

3601 E Main St
#T
Richmond, IN 47374
Phone (765) 965-6827

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1174635775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743821",
            "telephone_number": "765-488-0216",
            "fax_number": "765-488-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W MAIN ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473743821",
            "telephone_number": "765-488-0216",
            "fax_number": "765-488-0654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3167 S State Road 3",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473621318",
            "country_code": "US",
            "telephone_number": "765-593-0788",
            "fax_number": "765-488-0654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Connersville",
            "state": "IN",
            "postal_code": "473313493",
            "country_code": "US",
            "telephone_number": "765-692-3118",
            "fax_number": "765-827-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MTF P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "765-488-0216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002408A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200527270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael T. Fisher, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.