NPIMap

Organization Active NPI

John R. Fish, O.D. Inc.

Doing business as Eagle Eye Associates

  • Optometrist
  • Chester Springs, PA
National Provider Identifier
1366643926
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOHN R. FISH, O.D. INC.
Doing business as
Eagle Eye Associates
Practice address
133 Little Conestoga Rd
Chester Springs, PA 19425-9562
Phone
(610) 458-9800
Fax
(610) 458-9806
NPI assigned
May 30, 2007
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Dr. John Russell Fish, O.D.NPI 1841233400
Title
President
Phone
(610) 458-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

133 Little Conestoga Rd
Chester Springs, PA 19425-9562

Mailing address

155 Little Conestoga Street
PO Box 310
Uwchland, PA 19480
Phone (610) 458-9800

Other identifiers 1

IdentifierTypeStateIssuer
P00477114OtherPARAILROAD MEDICARE

Other names 1

  • Eagle Eye Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1366643926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LITTLE CONESTOGA STREET",
            "address_2": "PO BOX 310",
            "city": "UWCHLAND",
            "state": "PA",
            "postal_code": "19480",
            "telephone_number": "610-458-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLE CONESTOGA RD",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259562",
            "telephone_number": "610-458-9800",
            "fax_number": "610-458-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. FISH, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-458-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00477114",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.