Individual provider Active NPI

Andrew Fisher

  • Optometrist
  • Loveland, OH
National Provider Identifier
1407204282
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6454 T3371 Issued in OH
Practice address
10566 Loveland Madeira Rd
Loveland, OH 45140-8962
Phone
(513) 683-3791
Fax
(513) 683-0366
NPI assigned
Jun 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6454 T3371 OH Primary

Addresses

Primary practice location

10566 Loveland Madeira Rd
Loveland, OH 45140-8962

Mailing address

15933 Clayton Rd Ste 201
Ballwin, MO 63011-2172
Phone (636) 200-4393

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
I20161025001929 OH Practitioner - Optometry 4880972934 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Mason Vision Center LLCGroup PAC ID 8729367404, 6 clinicians
Springboro Vision, LLCGroup PAC ID 6507120169, 6 clinicians
Lebanon Vision Center LLCGroup PAC ID 8426434390, 4 clinicians

Practice addresses (Care Compare)

218 Reading Rd
Mason, OH 45040-1665
Phone (513) 398-3886

245 N Main St
Suite 300
Springboro, OH 45066-9171
Phone (937) 748-2955

777 Columbus Ave
Lebanon, OH 45036-1682

777 Columbus Ave
Lebanon, OH 45036-1684
Phone (513) 932-3343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6454 T3371OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mason Vision Center, LLC Optometrist CurrentSince Dec 23, 2018 Accepting new patients
Springboro Vision, LLC Optometrist CurrentSince Dec 23, 2018 Accepting new patients
Lebanon Vision Center, LLC Optometrist Past Accepting new patients
Kara S Hampton Optometrist PastSince Dec 23, 2018 Accepting new patients

Locations

218 Reading Rd
Mason, OH 45040
Phone (513) 398-3886

245 N Main St
Ste 300
Springboro, OH 45066
Phone (937) 748-2955

Interoperability endpoints

  • Direct secure messaging: andrewfisher@direct.eyecare-partners.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1407204282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10566 LOVELAND MADEIRA RD",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408962",
            "telephone_number": "513-683-3791",
            "fax_number": "513-683-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6454 T3371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, OH

Sources for this page

Verify at the official NPI Registry.