Active NPI
Ronald Dean Fisher, OD
- Optometrist
- Wichita, KS
National Provider Identifier
1275595134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10833
- Practice address
- 2635 W Douglas
Wichita, KS 67213 - Phone
- (316) 942-7496
- Fax
- (316) 942-9431
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10833 | KS | Primary |
Addresses
Primary practice location
2635 W Douglas
Wichita, KS 67213
Mailing address
2635 W Douglas
Wichita, KS 67213
Phone (316) 942-7496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10833 | KS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1275595134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 W DOUGLAS",
"city": "WICHITA",
"state": "KS",
"postal_code": "67213",
"telephone_number": "316-942-7496",
"fax_number": "316-942-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 W DOUGLAS",
"city": "WICHITA",
"state": "KS",
"postal_code": "67213",
"telephone_number": "316-942-7496",
"fax_number": "316-942-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "RONALD",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "10833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.