Organization Active NPI

Chris Fisher, O.D., Inc.

Doing business as Signature Optometry

  • Optometrist
  • Fresno, CA
National Provider Identifier
1700200987
Registry record updated Feb 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14832 Issued in CA
Legal business name
CHRIS FISHER, O.D., INC.
Doing business as
Signature Optometry
Practice address
5430 N Palm Ave
Ste 101
Fresno, CA 93704-1900
Phone
(559) 432-0606
Fax
(559) 432-0608
NPI assigned
Feb 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2014

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

Authorized official

Name
Dr. Christopher Gordon Fisher, O.D.NPI 1336560515
Title
President
Phone
(559) 432-0606

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 14832 CA Primary

Addresses

Primary practice location

5430 N Palm Ave
Ste 101
Fresno, CA 93704-1900

Mailing address

5430 N Palm Ave
Ste 101
Fresno, CA 93704-1900
Phone (559) 432-0606

Other names 1

  • Signature Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140512001992 CA Part B Supplier - Clinic/Group Practice 7517190861 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory
Tax ID family
Chris Fisher OD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5430 N Palm Ave
Ste 101
Fresno, CA 93704
Phone (559) 432-0606

Practitioners & affiliated clinicians

Practitioners 2

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": "1391904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391904000000",
    "number": "1700200987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 N PALM AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041900",
            "telephone_number": "559-432-0606",
            "fax_number": "559-432-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 N PALM AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041900",
            "telephone_number": "559-432-0606",
            "fax_number": "559-432-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS FISHER, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-432-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.