Dr Svetlana Fisher an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

9936TPA Issued in CA

Legal business name

DR SVETLANA FISHER AN OPTOMETRIC CORPORATION

Doing business as

EYECARE OF CALIFORNIA OPTOMETRY
OPTOMETRIC SPECS APPEAL

Practice address

21001 Sherman Way Ste 14
Canoga Park, CA 91303-3679

Phone

(747) 230-4024

Fax

(818) 276-0009

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Svetlana Fisher, ODNPI 1922028653

Title

Pres

Phone

(323) 650-0988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• EYECARE OF CALIFORNIA OPTOMETRY Doing business as
• OPTOMETRIC SPECS APPEAL Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Svetlana Fisher, OD

  • Optometrist
  • West Hollywood, CA
  • NPI 1922028653
  Medicare reassignment NPD Authorized official
• Warren J Xie

  • Low Vision Rehabilitation Optometrist
  • Monterey Park, CA
  • NPI 1841871704
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1356416713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7976 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465109",
            "telephone_number": "323-650-0988",
            "fax_number": "323-650-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 SHERMAN WAY STE 14",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033679",
            "telephone_number": "747-230-4024",
            "fax_number": "818-276-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SVETLANA FISHER AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "323-650-0988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9936TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD003081",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYECARE OF CALIFORNIA OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OPTOMETRIC SPECS APPEAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chael Cameron Dooley
• Akilah Douglas
• Carlos Douglas
• Doveinchi Op Center
• Aleksandr Dozortsev
• Anjalove Duarte
• Joseph Duarte
• Liliana Duarte
• Yuri Dubon
• Kaitlin Dugan

• Optometrist in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.