Active NPI
Garry D. Fish, O.D.
- Optometrist
- Red Bluff, CA
National Provider Identifier
1528031838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5144
- Practice address
- 444 Union St
Red Bluff, CA 96080-2741 - Phone
- (530) 527-8777
- NPI assigned
- Feb 8, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5144 | CA | Primary |
Addresses
Primary practice location
444 Union St
Red Bluff, CA 96080-2741
Mailing address
444 Union St
Red Bluff, CA 96080-2741
Phone (530) 527-8777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0051440 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5144 | CA | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528031838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 UNION ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960802741",
"telephone_number": "530-527-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 UNION ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960802741",
"telephone_number": "530-527-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "GARRY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0051440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.