David H Fisher Jr Inc the Vision Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

1069-201-T Issued in LA

Legal business name

DAVID H FISHER JR INC THE VISION CLINIC

Practice address

1458 S College Rd
Lafayette, LA 70503-2912

Phone

(337) 237-2110

Fax

(337) 237-1632

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David H Fisher Jr., ODNPI 1497798771

Title

Optometrist

Phone

(337) 237-2110

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David H. Fisher Jr., O.D.

  • Optometrist
  • Lafayette, LA
  • NPI 1497798771
  Medicare reassignment Care Compare group NPD Authorized official
• Nancy Rebecca Fisher Broussard, OD

  • Optometrist
  • Lafayette, LA
  • NPI 1447006143
  Medicare reassignment Care Compare group NPD
• William Donner Mizelle, O.D.

  • Optometrist
  • Lafayette, LA
  • NPI 1740252733
  Medicare reassignment NPD
• Leanne Catherine Gilder, OD

  • Optometrist
  • Lafayette, LA
  • NPI 1477039824
  NPD
• Garett Paul Thibodeaux, O.D.

  • Optometrist
  • Breaux Bridge, LA
  • NPI 1831106335
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1215048624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032912",
            "telephone_number": "337-237-2110",
            "fax_number": "337-237-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 S COLLEGE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032912",
            "telephone_number": "337-237-2110",
            "fax_number": "337-237-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H FISHER JR INC THE VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "337-237-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1069-201-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215048624",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2482B",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410035355",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5013447",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1943321",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David and Eldredge ENT Specialists, LLC
• David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation
• David Ashley MD DMD Oral Surgery Group, PC
• David Ashton Reed, MD Internal Medicine LLC
• David G Baker MD Apmc
• David J Jewell Apmc
• David M Vieth, DDS, a Professional Corporation
• David S. Muldowny, MD, Apmc
• David Stephen Dawes, M.D., a Professional Medical Corporation
• David T Booher MD Ampc

• Optometrist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.