Individual provider Active NPI

Jeffrey William Fisher, OD

  • Corneal and Contact Management Optometrist
  • Tampa, FL
National Provider Identifier
1821252461
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC 3793 Issued in FL
Practice address
6192 Gunn Hwy
Tampa, FL 33625-4014
Phone
(813) 968-2740
Fax
(813) 968-2750
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC 3793 FL Primary
Optometrist 152W00000X OPC3793 FL

Addresses

Primary practice location

6192 Gunn Hwy
Tampa, FL 33625-4014

Mailing address

7318 Yardley Way
Tampa, FL 33647-1215
Phone (813) 968-2740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106002034 FL Practitioner - Optometry 7618233719 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3793FLMDOptometrist
OPC 3793FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Global Care Optometry II PA Optometrist CurrentSince Dec 16, 2024 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Oct 5, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Oct 5, 2017 Accepting new patients
Gulf Coast Optometry, PA Corneal and Contact Management CurrentSince Sep 9, 2017 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Jeffrey W. Fisher,O.D., P.a. Corneal and Contact Management Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

778 Beal Pkwy N
Unit 102
Fort Walton Beach, FL 32547
Phone (619) 321-7521

18100 NW 57th Ave
Ste 102
Hialeah, FL 33015
Phone (786) 746-9296

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

741 N Alafaya Trl
Unit H1
Orlando, FL 32828
Phone (407) 658-1693

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1821252461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 YARDLEY WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471215",
            "telephone_number": "813-968-2740",
            "fax_number": "813-968-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6192 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254014",
            "telephone_number": "813-968-2740",
            "fax_number": "813-968-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 3793",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.