Organization Active NPI

Paul E Fisher Jr OD PA

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1578866745
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3466 Issued in FL
Legal business name
PAUL E FISHER JR OD PA
Doing business as
Dr Fisher and Associates
Practice address
5838 9TH Ave N
St Petersburg, FL 33710-6319
Phone
(727) 498-8808
Fax
(727) 498-8807
NPI assigned
Dec 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Dr. Paul Edward Fisher, O.D.NPI 1689743940
Title
Owner/President/Optometrist
Phone
(727) 498-8808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3466 FL Primary

Addresses

Primary practice location

5838 9TH Ave N
St Petersburg, FL 33710-6319

Mailing address

5838 9TH Ave N
St. Petersburg, FL 33710-6319
Phone (727) 498-8808

Other names 1

  • Dr Fisher and Associates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drpaulod@hotmail.com

National Provider Directory

National Provider Directory

Locations

6951 Tyrone Square
St Petersburg, FL 33710
Phone (727) 344-1707

Practitioners & affiliated clinicians

Practitioners 3

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": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1578866745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 9TH AVE N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337106319",
            "telephone_number": "727-498-8808",
            "fax_number": "727-498-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106319",
            "telephone_number": "727-498-8808",
            "fax_number": "727-498-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E FISHER JR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "727-498-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpaulod@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5838 9th Ave N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337106319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dr Fisher and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.