Stephanie Lyn Fisher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011687 Issued in IL

Practice address

980 W South St
Freeport, IL 61032-6777

Phone

(158) 232-2020

Fax

(815) 235-1712

NPI assigned

Oct 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

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 2

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Optometric Center P CGroup PAC ID 8325164833, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Freeport Optometric Center P C

  • Optometrist
  • Freeport, IL
  • NPI 1538151592
  Medicare reassignment Care Compare group NPD
• Eye Specialists of Indiana, PC

  • Optometrist
  • Indianapolis, IN
  • NPI 1497891204
  Medicare reassignment NPD
• Eye Specialist of Indiana, P.C.

  • Optometrist
  • Franklin, IN
  • NPI 1942349287
  NPD
• Indiana University

  • Optometrist
  • Indianapolis, IN
  • NPI 1497799787
  NPD (past)

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1275938433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W SOUTH ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326777",
            "telephone_number": "158-232-2020",
            "fax_number": "815-235-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W SOUTH ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326777",
            "telephone_number": "158-232-2020",
            "fax_number": "815-235-1712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474053603",
            "country_code": "US",
            "telephone_number": "812-855-8436",
            "fax_number": "812-855-1683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 W Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821188",
            "country_code": "US",
            "telephone_number": "276-223-0033 x4",
            "fax_number": "276-223-0327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "STEPHANIE",
        "middle_name": "LYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002374",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003871",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara L Felgenhauer, FNP-BC
• Anna Ferguson
• Erica Ferguson
• FHN Memorial Enterprises
• Sally A Fisher, PT
• Heather M Flynn, PT
• Jon P Flynn
• Frances House Inc
• Frances House Inc
• Leon Freeburg

• Optometrist in Freeport, IL
• Providers in Freeport, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.