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General NPI Number Information
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NPI Number | 1023196755
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Entity Type | Individual
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Provider Name | ARTHUR D FISHER O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 350 E NEW YORK ST SUITE 250
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-2036
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Country | US
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Telephone | 317-634-8617
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Fax |
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Provider Business Mailing Address
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Address Line | 12209 LEIGHTON CT
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 317-844-7828
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18001863
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18001863B
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License Number State | IN
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