Active NPI
Wayne A. Fisher, O.D.
- Optometrist
- Greenville, OH
National Provider Identifier
1558472571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3232
- Practice address
- 655 Wagner Ave
Greenville, OH 45331-2648 - Phone
- (937) 548-4940
- Fax
- (937) 548-1847
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 1, 2012
- 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 | 3232 | OH | Primary |
Addresses
Primary practice location
655 Wagner Ave
Greenville, OH 45331-2648
Mailing address
655 Wagner Ave
Greenville, OH 45331-2648
Phone (937) 548-4940
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3232 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1558472571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 WAGNER AVE",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453312648",
"telephone_number": "937-548-4940",
"fax_number": "937-548-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 WAGNER AVE",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453312648",
"telephone_number": "937-548-4940",
"fax_number": "937-548-1847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "WAYNE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.