Organization Active NPI

Gerald H Fisher & Erika L Fisher, PA

Doing business as Complete Family Eye Care

  • Optometrist
  • Saint Johns, FL
National Provider Identifier
1700960028
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GERALD H FISHER & ERIKA L FISHER, PA
Doing business as
Complete Family Eye Care
Practice address
651 State Road 13
Saint Johns, FL 32259-2830
Phone
(904) 287-4567
Fax
(904) 287-4597
NPI assigned
Oct 24, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Mrs. Erika L Fisher, ODNPI 1780762930
Title
Owner
Phone
(904) 287-4567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

651 State Road 13
Saint Johns, FL 32259-2830

Mailing address

651 State Road 13
Saint Johns, FL 32259-2830
Phone (904) 287-4567

Other names 1

  • COMPLETE FAMILY EYE CARE Doing business as

National Provider Directory

National Provider Directory

Locations

2766 Race Track Rd
St Johns, FL 32259
Phone (904) 287-4567

651 State Road 13 N
St Johns, FL 32259
Phone (904) 287-4567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1700960028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 STATE ROAD 13",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322592830",
            "telephone_number": "904-287-4567",
            "fax_number": "904-287-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 STATE ROAD 13",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322592830",
            "telephone_number": "904-287-4567",
            "fax_number": "904-287-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD H FISHER & ERIKA L FISHER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-287-4567",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPLETE FAMILY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.