Larry Fish, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L6379 Issued in TX

Practice address

11442 N. Central Expressway
Dallas, TX 75243

Phone

(432) 267-3649

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Texas Tech University Health Science Center School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JW Eye Associates, PLLCGroup PAC ID 6305828567, 35 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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lfish@kwec.intellechartdirect.net

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.

• JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1285679803
  Medicare reassignment Care Compare group NPD
• JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Plano, TX
  • NPI 1427230531
  NPD
• JW Eye Associates, PLLC

  • Ophthalmology Physician
  • Greenville, TX
  • NPI 1518849728
  NPD
• Fish Ophthalmology Clinic, P.a.

  • Specialist
  • Big Spring, TX
  • NPI 1720033111
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1699728386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "432-267-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "432-267-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L6379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfish@keywhitman.imwdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11442 N. Central Expressway",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Annette Fischer
• Robert Paul Fischer, M.D.
• Kimberly Fiser, MS CCC-SLP
• Gary Fish, M.D.
• Jason S. Fish, MD, MSHS
• Manuel A Fish, CRNA
• Matthew Fish, MA, LPC-INTERN
• Amelia Fisher, LPC
• Ann Humphries Fisher, CNIM
• Charles Michael Fisher, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.