Individual provider Active NPI

William J Fishkind, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1679610737
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11947 Issued in AZ
Practice address
5599 N Oracle Rd
Tucson, AZ 85704-3821
Phone
(520) 293-6740
Fax
(520) 293-6771
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11947 AZ Primary

Addresses

Primary practice location

5599 N Oracle Rd
Tucson, AZ 85704-3821

Mailing address

5599 N Oracle Rd
Tucson, AZ 85704-3821
Phone (520) 293-6740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20100828000113 AZ Practitioner - Ophthalmology 0547349227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11947AZMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Specialists L L C Ophthalmology CurrentSince Jan 1, 1990 Accepting new patients
Northwest Eye Specialists,PLLC CurrentSince Jan 1, 1990 Accepting new patients

Locations

10425 N Oracle Rd
Ste 135
Tucson, AZ 85737
Phone 5202936740103

5599 N Oracle Rd
Tucson, AZ 85704
Phone (520) 293-6740

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1679610737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5599 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043821",
            "telephone_number": "520-293-6740",
            "fax_number": "520-293-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5599 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043821",
            "telephone_number": "520-293-6740",
            "fax_number": "520-293-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHKIND",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "11947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.