Individual provider Active NPI

Beth L. Fischer, O.D.

  • Optometrist
  • Duluth, MN
National Provider Identifier
1497758775
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2810 Issued in MN
Practice address
1344 W Arrowhead Rd
Duluth, MN 55811-2218
Phone
(218) 728-6211
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2810 MN Primary
Optometrist 152W00000X 3025-035 WI

Addresses

Primary practice location

1344 W Arrowhead Rd
Duluth, MN 55811-2218

Mailing address

1344 W Arrowhead Rd
Duluth, MN 55811-2218
Phone (218) 728-6211

Other identifiers 4

IdentifierTypeStateIssuer
410045434OtherMNRAILROAD MEDICARE
5100031300MedicaidMN
22-01339OtherMNMEDICA
76B36FIOtherMNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040430000300 MN Practitioner - Optometry 6800883711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Pro II IncGroup PAC ID 4880599034, 5 clinicians

Practice addresses (Care Compare)

1344 W Arrowhead Rd
Duluth, MN 55811-2218
Phone (218) 728-6211

500 Folz Blvd
Moose Lake, MN 55767-8175
Phone (218) 485-8888

904 Hwy 33 S
Cloquet, MN 55720-2624
Phone (218) 879-5022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3025-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Pro II Inc Optometrist CurrentSince Apr 22, 2009 Accepting new patients
Vision Pro Optometrist Past Accepting new patients

Locations

1344 W Arrowhead Rd
Duluth, MN 55811
Phone (218) 728-6211

2425 Tower Ave
Superior, WI 54880
Phone (715) 392-3352

Organizations & group practices 2

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1497758775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112218",
            "telephone_number": "218-728-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112218",
            "telephone_number": "218-728-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "BETH",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2810",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3025-035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045434",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100031300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "22-01339",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "76B36FI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.