Physician Compare National (NPI:1336560515)

HEALTHCARE PROVIDER: CHRISTOPHER GORDON FISHER O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1336560515
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426281775
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140512002021
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FISHER
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	GORDON
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5430 N PALM AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	FRESNO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	937041900
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y