MEDICARE: MICHAEL J FISCHER, MD LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	4831	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669773644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL J FISCHER, MD LTD

Provider Business Mailing Address
First Line	:	PO BOX 2043
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89702-2043
Country	:	US
Telephone Number	:	775-882-2988
Fax Number	:	775-882-1726

Provider Business Practice Location Address
First Line	:	3839 N CARSON ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-1935
Country	:	US
Telephone Number	:	775-882-2988
Fax Number	:	775-882-1726

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	DR. MICHAEL J FISCHER
Credential	:	M.D.
Telephone Number	:	775-882-2988

Provider Enumeration Date	:	11/08/2010
Last Update Date	:	11/08/2010

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