Susan Kersey Fish, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M1092 Issued in TX

Practice address

333 N. Rivershire Dr.
Suite 160
Conroe, TX 77304-2711

Phone

(936) 441-2020

Fax

(936) 756-0656

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

JS Weill Medical College, Cornell University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hea Clinic PAGroup PAC ID 1254227440, 40 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susanfish@houstoneye.direct.eyemdemr.com

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.

• Hea Clinic PA

  dba Houston Eye Associates

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1467420240
  Medicare reassignment Care Compare group NPD
• Hea Clinic PA

  dba Houston Eye Associates

  • Ophthalmology Physician
  • Sugar Land, TX
  • NPI 1689792053
  NPD
• Hea Clinic, PA

  dba Houston Eye Associates

  • Ophthalmology Physician
  • League City, TX
  • NPI 1790022119
  NPD
• Conroe Eye Clinic, LLP

  dba (1) Conroe Woodlands Eye Clinic, (2) Woodlands Eye Clinic

  • Ophthalmology Physician
  • Conroe, TX
  • NPI 1497707905
  NPD (past)
• Houston Optic PLLC

  dba Houston Eye Associates Optical Center

  • Optometrist
  • Pearland, TX
  • NPI 1720464191
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1568411593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251697",
            "telephone_number": "713-668-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N. RIVERSHIRE DR.",
            "address_2": "SUITE 160",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042711",
            "telephone_number": "936-441-2020",
            "fax_number": "936-756-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "SUSAN",
        "middle_name": "KERSEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M1092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173629002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susanfish@houstoneye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "direct message address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "333 N. Rivershire Dr.",
            "address_2": "Suite 160",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773042711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• First City Recovery Houston, LLC (Magnolia City Detox)
• First Partners LLC
• First Priority Lab, LLC
• First Surgical Assist PLLC
• First Texas Optometric PC (EyeTrends-Conroe)
• Allison Nicole Fisher, LPC - ASSOCIATE
• Cheryl L Fisher, LPC
• Mary Fisher
• Angel Fitchett
• Chelsi Fitzgerald

• Ophthalmology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.