NPIMap

Organization Active NPI

Herbert a. Fisher, O.D

  • Optometrist
  • Bryant, AR
National Provider Identifier
1376713115
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR2062 Issued in AR
Legal business name
HERBERT A. FISHER, O.D
Practice address
3121 N Reynolds Rd Ste 4
Bryant, AR 72022-9190
Phone
(501) 653-2288
Fax
(501) 653-2404
NPI assigned
Mar 7, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Herbert A FisherNPI 1588655237
Title
Optometrist
Phone
(501) 653-2288

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AR2062 AR Primary

Addresses

Primary practice location

3121 N Reynolds Rd Ste 4
Bryant, AR 72022-9190

Mailing address

3121 N Reynolds Rd Ste 4
Bryant, AR 72022-9190
Phone (501) 653-2288

Other identifiers 3

IdentifierTypeStateIssuer
AR2062OtherAROPTOMETRIC LICENSE
OP1100020OtherAROPTOMETRIC PHYSICIAN
104318722MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1376713115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N REYNOLDS RD STE 4",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229190",
            "telephone_number": "501-653-2288",
            "fax_number": "501-653-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N REYNOLDS RD STE 4",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229190",
            "telephone_number": "501-653-2288",
            "fax_number": "501-653-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT A. FISHER, O.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "501-653-2288"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "AR2062",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC PHYSICIAN",
            "identifier": "OP1100020",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104318722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.