NPIMap

Organization Active NPI

Fischer Laser Eye Center, LLC

  • Optometrist
  • New London, MN
National Provider Identifier
1508933011
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FISCHER LASER EYE CENTER, LLC
Practice address
61 Main St S
New London, MN 56273-5005
Phone
(320) 354-2020
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Jeffrey L. Fischer, M.D.
Title
Owner Provider
Phone
(320) 235-2020

Specialties & licenses 1

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

Addresses

Primary practice location

61 Main St S
New London, MN 56273-5005

Mailing address

61 Main St S
New London, MN 56273-5005
Phone (320) 354-2020

Other identifiers 1

IdentifierTypeStateIssuer
347472000MedicaidMN

Other names 1

  • Family Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000216 MN Part B Supplier - Clinic/Group Practice 6406756295 Receives reassigned benefits from 9 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New London, MN; Willmar, MN; Redwood Falls, MN; Paynesville, MN; Olivia, MN; Montevideo, MN; Litchfield, MN

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1508933011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST S",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562735005",
            "telephone_number": "320-354-2020",
            "fax_number": "320-354-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST S",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562735005",
            "telephone_number": "320-354-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISCHER LASER EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "320-235-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347472000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.