Individual provider Active NPI

David Clarence Fisher, O.D.

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1578547469
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9240T Issued in CA
Practice address
10502 Katella Ave
Anaheim, CA 92804-6528
Phone
(714) 776-2020
NPI assigned
Dec 3, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9240T CA Primary

Addresses

Primary practice location

10502 Katella Ave
Anaheim, CA 92804-6528

Mailing address

10502 Katella Ave
Anaheim, CA 92804-6528
Phone (714) 776-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20161021001465 WY Practitioner - Optometry 5991083180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyovision Associates IncGroup PAC ID 7315033503, 3 clinicians

Practice addresses (Care Compare)

1450 Sugarland Dr
Sheridan, WY 82801-5730
Phone (307) 673-5177

Merit-based Incentive Payment System (MIPS)

Final score
98.86 of 100Reported as group
Quality
97.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9240TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyovision Associates Inc Optometrist CurrentSince Oct 1, 2016 Accepting new patients
O.C. Optometric Group Inc. Optometrist PastSince May 4, 2011 Accepting new patients

Locations

1450 Sugarland Dr
Sheridan, WY 82801
Phone (307) 673-5177

Interoperability endpoints

  • Direct secure messaging: dfisher@wyovision.eyeclinicdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578547469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046528",
            "telephone_number": "714-776-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046528",
            "telephone_number": "714-776-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DAVID",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9240T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.