Micayla Fisher - Ives, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

682 Issued in NM

Practice address

444 Saint Michaels Dr
BLDG a
Santa Fe, NM 87505-7620

Phone

(505) 944-4442

Fax

(505) 954-4448

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Botwin Eye Group PAGroup PAC ID 1052486891, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Botwin Eye Group PA

  • Optometrist
  • Santa Fe, NM
  • NPI 1114193935
  Medicare reassignment Care Compare group NPD
• Matthew I. Ehrlich, M.D., P.C.

  dba Ehrlich Laser Eye Center

  • Specialist
  • Santa Fe, NM
  • NPI 1225274145
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1467900829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W WATER ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012136",
            "telephone_number": "505-988-4442",
            "fax_number": "505-273-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SAINT MICHAELS DR",
            "address_2": "BLDG A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057620",
            "telephone_number": "505-944-4442",
            "fax_number": "505-954-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER - IVES",
        "first_name": "MICAYLA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467900829",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Finn, LPCC
• First Care Inc
• Laura Christine Fischer, MA, LPCC
• Elizabeth McLaren Fiset, DOM
• Peter J. Fishback, M.D.
• Ellen Fisher
• Peter Fisk, D.C.
• Fitness Plus
• Niki Lynn Fitzcallaghan, RNCS,LPCC
• Carol J Fitzpatrick, PHD

• Optometrist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.