Michael a. Fishbaugh Jr. O.D. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4643 T1418 Issued in OH

Legal business name

MICHAEL A. FISHBAUGH JR. O.D. INC.

Practice address

570 E Kremer Hoying Rd
Saint Henry, OH 45883-9613

Phone

(419) 678-8800

Fax

(419) 678-4224

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Fishbaugh Jr., O. D.

Title

Optometrist

Phone

(419) 678-8800

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Hien DO, O.D.

  • Optometrist
  • Lima, OH
  • NPI 1427259100
  NPD (past)
• Philip W Valentine, OD

  • Optometrist
  • Sidney, OH
  • NPI 1487646816
  NPD (past)
• Paul W Wilken, OD

  • Optometrist
  • Celina, OH
  • NPI 1376541714
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1285814558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E KREMER HOYING RD",
            "city": "SAINT HENRY",
            "state": "OH",
            "postal_code": "458839613",
            "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 E KREMER HOYING RD",
            "city": "SAINT HENRY",
            "state": "OH",
            "postal_code": "458839613",
            "telephone_number": "419-678-8800",
            "fax_number": "419-678-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 N Cable Rd",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458051407",
            "country_code": "US",
            "telephone_number": "419-227-2020",
            "fax_number": "419-222-0164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Summit St",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "OH",
            "postal_code": "458221023",
            "country_code": "US",
            "telephone_number": "419-586-5149",
            "fax_number": "419-586-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL A. FISHBAUGH JR. O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "FISHBAUGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "419-678-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4643 T1418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172343",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046531",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2793259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Evelyn Luthman
• Majestic Care of St Henry LLC
• Alexandria M McClure
• Scott Douglas McClure, D.C.
• Mercer County Joint Township Community Hospital
• Stefanie Marie Moeller, M.D.
• Niekamp Chiropractic Center, LLC
• Erin Gina Niekamp, D.C.
• Rooted in Wellness Family Care, LLC
• Kaleigh Sue Ruble

• 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.
• 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.