Michael A. Fishbaugh Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4643/T1418 Issued in OH

Practice address

570 Kremer Hoying Rd.
Suite F
St. Henry, OH 45883-0040

Phone

(419) 678-8800

Fax

(419) 678-4224

NPI assigned

Jul 13, 2005

Last updated

Dec 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

19.62 of 100Reported as individual

Quality

35

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maf5752@fishbaughfamilyeyecare.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment Care Compare group NPD
• Michael a. Fishbaugh Jr. O.D. Inc.

  • Optometrist
  • Saint Henry, OH
  • NPI 1285814558
  Authorized official Same address or phone
• Aeg Ohio Professional PC

  dba Harper's Point

  • Optometrist
  • Cincinnati, OH
  • NPI 1932708047
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1225036197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E KREMER HOYING RD STE J",
            "city": "SAINT HENRY",
            "state": "OH",
            "postal_code": "458837600",
            "telephone_number": "419-678-8800",
            "fax_number": "419-678-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 KREMER HOYING RD.",
            "address_2": "SUITE F",
            "city": "ST. HENRY",
            "state": "OH",
            "postal_code": "458830040",
            "telephone_number": "419-678-8800",
            "fax_number": "419-678-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBAUGH",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4643/T1418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maf5752@fishbaughfamilyeyecare.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Michael A. Fishbaugh Jr. O.D. Inc.",
            "address_1": "570 Kremer Hoying Rd.",
            "address_2": "Suite F",
            "city": "St. Henry",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458830040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maf5752@fishbaughfamilyeyecare.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Michael A. Fishbaugh Jr. O.D. Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "119 Summit St",
            "city": "Celina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458221023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maf5752@fishbaughfamilyeyecare.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Michael A. Fishbaugh Jr. O.D. Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1301 N Cable Rd",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458051407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lyn Brophy
• Mark R Brown, D.O.
• Brittany Sue Buening, CNP
• Teresa Marie Delzeith, PTA
• Everside Health, LLC
• Elizabeth Ann Francis, DDS
• Lydia Rita Franck
• Gardens at St. Henry Operating Company, LLC (Gardens at St. Henry)
• Gardens at St. Henry Operating Company, LLC (The Gardens at St. Henry)
• Deborah Jo Goettemoeller, RN BSN

• Optometrist in Saint Henry, OH
• Providers in Saint Henry, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.