Andrea L. Fisher OD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ANDREA L. FISHER OD

Doing business as

Erie Shores Eye Care

Practice address

4693 Liberty Ave
Vermilion, OH 44089-3242

Phone

(440) 714-1901

NPI assigned

Jul 30, 2020

Last updated

Jul 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Fisher, OD

Title

President/Owner

Phone

(440) 714-1901

Specialties & licenses 1

Addresses

Other names 1

• Erie Shores Eye Care Doing business as

Locations

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1346859816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 E MEADOW FARM LN",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531893",
            "telephone_number": "440-714-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4693 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440893242",
            "telephone_number": "440-714-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA L. FISHER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "440-714-1901",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erie Shores Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Vermilion, OH
• Providers in Vermilion, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.