Robert Glen Fishback, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5664 Issued in CA

Practice address

1015 N Demaree St
Visalia, CA 93291-4117

Phone

(559) 733-1036

Fax

(559) 733-1037

NPI assigned

Sep 26, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710078944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914117",
            "telephone_number": "559-733-1036",
            "fax_number": "559-733-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914117",
            "telephone_number": "559-733-1036",
            "fax_number": "559-733-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBACK",
        "first_name": "ROBERT",
        "middle_name": "GLEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Finnegan, AU.D.
• Brendan Christopher Finnell, MD
• Morganne O Finney
• Johnisha Denise Firme
• Firstsight Vision Services, Inc.
• Larry Leroy Fishburn II, CASE MANAGER IV
• Marisa Dawn Fisher, FNP
• Michael-Dennis Fiss, MD
• Magdalena Fitzgerald Platt
• Flaherty Footcare Center

• Optometrist in Visalia, CA
• Providers in Visalia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.