Organization Active NPI

Jennifer Fishel, OD, PA

  • Optometrist
  • Greenville, NC
National Provider Identifier
1487690905
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1791 Issued in NC
Legal business name
JENNIFER FISHEL, OD, PA
Practice address
2797 Charles Blvd
Greenville, NC 27858-5933
Phone
(252) 756-6031
Fax
(252) 756-9737
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Jennifer R Fishel, O.D.
Title
Optometrist / Owner
Phone
(252) 756-6031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1791 NC Primary

Addresses

Primary practice location

2797 Charles Blvd
Greenville, NC 27858-5933

Mailing address

2797 Charles Blvd
Greenville, NC 27858-5933
Phone (252) 756-6031

Other identifiers 1

IdentifierTypeStateIssuer
0111QOtherNCBLUE CROSS GROUP NUMBER

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: jfishelod@greenvilleeyes.eyefinitydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1487690905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 CHARLES BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585933",
            "telephone_number": "252-756-6031",
            "fax_number": "252-756-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 CHARLES BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585933",
            "telephone_number": "252-756-6031",
            "fax_number": "252-756-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER FISHEL, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "FISHEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST / OWNER",
        "authorized_official_telephone_number": "252-756-6031",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "0111Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.