Paul Edward Fisher Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3466 Issued in FL

Practice address

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

Phone

(727) 498-8808

Fax

(727) 498-8807

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Paul E Fisher Jr OD PA

  • Optometrist
  • St Petersburg, FL
  • NPI 1578866745
  NPD Authorized official
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1689743940",
    "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": {
        "last_name": "FISHER",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard D Fishalow, MD
• Angela L Fisher, PHD
• Caramia Fisher, MSW
• Ingrid L Fisher, PHARMD
• Joseph Michael Fisher Jr., PHARM.D.
• Dawn Theresa Fiske, OTR/L
• Anthony Fittipaldi, DPT
• Orionee E Fitts, RCSWI
• John James Fitzgerald, OMD
• Nancy Marie Fitzgerald, D.M.D.

• Optometrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.