Individual provider Active NPI

Svetlana Fisher, OD

  • Optometrist
  • West Hollywood, CA
National Provider Identifier
1922028653
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9936T Issued in CA
Practice address
7976 Santa Monica Blvd
West Hollywood, CA 90046-5109
Phone
(323) 650-0988
Fax
(323) 650-1579
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9936T CA Primary

Addresses

Primary practice location

7976 Santa Monica Blvd
West Hollywood, CA 90046-5109

Mailing address

7976 Santa Monica Blvd
West Hollywood, CA 90046-5109
Phone (323) 650-0988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120503000469 CA Practitioner - Optometry 7416955463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21001 Sherman Way
Suite 14
Canoga Park, CA 91303-3679
Phone (747) 230-4024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9936TCAMDOptometrist
9936CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Svetlana Fisher an Optometric Corporation Optometrist CurrentSince Mar 1, 2000 Accepting new patients
Apikian Optometry PC Optometrist Past Accepting new patients

Locations

21001 Sherman Way
Ste 14
Canoga Park, CA 91303
Phone (747) 230-4024

7976 Santa Monica Blvd
West Hollywood, CA 90046
Phone (323) 650-0988

Organizations & group practices 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1922028653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7976 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465109",
            "telephone_number": "323-650-0988",
            "fax_number": "323-650-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7976 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465109",
            "telephone_number": "323-650-0988",
            "fax_number": "323-650-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SVETLANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9936T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.