Individual provider Active NPI

Andrea Lynne Fisher, O.D.

  • Optometrist
  • Avon, OH
National Provider Identifier
1407085681
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5861 Issued in OH
Practice address
38530 Chester Rd
Suite 300
Avon, OH 44011-4047
Phone
(440) 934-0055
Fax
(440) 934-3055
NPI assigned
Jul 8, 2009
Last updated
Apr 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5861 OH Primary
Corneal and Contact Management Optometrist 152WC0802X 5861 T2775 OH
Low Vision Rehabilitation Optometrist 152WL0500X 5861 T2775 OH

Addresses

Primary practice location

38530 Chester Rd
Suite 300
Avon, OH 44011-4047

Mailing address

38530 Chester Rd
Avon, OH 44011-4047
Phone (440) 934-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140502000205 OH Practitioner - Optometry 2466617147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

4685 Liberty Ave
Vermilion, OH 44089-3242
Phone (440) 967-2020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5861OHMDOptometrist
5861 T2775OHMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Apr 1, 2021 Accepting new patients
North Coast Eye Care, Avon LLC Optometrist CurrentSince Apr 9, 2014 Accepting new patients
The Metrohealth System Current Accepting new patients
North Coast Eye Care Vermilion, LLC Optometrist CurrentSince Feb 17, 2014 Accepting new patients
The Metrohealth System CurrentSince Apr 1, 2021 Accepting new patients

Locations

38530 Chester Rd
Ste 200
Avon, OH 44011
Phone 4403333097313

38530 Chester Rd
Ste 300
Avon, OH 44011
Phone (440) 934-0055

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4685 Liberty Ave
Vermilion, OH 44089
Phone (440) 967-2020

Interoperability endpoints

  • Direct secure messaging: afisher206183@direct.metrohealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1407085681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38530 CHESTER RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114047",
            "telephone_number": "440-934-0055",
            "fax_number": "440-934-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38530 CHESTER RD",
            "address_2": "SUITE 300",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114047",
            "telephone_number": "440-934-0055",
            "fax_number": "440-934-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ANDREA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5861",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "5861 T2775",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OH",
            "license": "5861 T2775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.