Fischer Vision PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3085 Issued in MN

Legal business name

FISCHER VISION PC

Practice address

13334 Bass Lake Road North
Maple Grove, MN 55311

Phone

(320) 212-0500

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Londa Lea Fischer Costello, O.D

Title

Owner/Optometrist

Phone

(320) 212-0500

Specialties & licenses 1

Addresses

Other names 1

• North Star Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Londa Lea Fischer, O.D.

  • Optometrist
  • Maple Grove, MN
  • NPI 1942401039
  Medicare reassignment NPD

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1720535263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SKYVIEW DR",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791318",
            "telephone_number": "320-212-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13334 BASS LAKE ROAD NORTH",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55311",
            "telephone_number": "320-212-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISCHER VISION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "FISCHER COSTELLO",
        "authorized_official_first_name": "LONDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "320-212-0500",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Star Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Bruce Ferrara, M.D.
• Joanne M Finnegan, MA, LMFT
• Kristen Marie Finnegan, PA-C
• Ifrah Fiqi
• First Choice Residential LLC
• Alexandra M Fischer, PA-C
• Londa Lea Fischer, O.D.
• Morgan Fischer
• Edward J. Fisher, M.D.
• Sheryl Ann Fisher, MSW, LICSW

• Optometrist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.