MEDICARE: DR. ALAN P FISHER O.D.

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	152W00000X	Optometrist	OPC1217	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	540002113	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	19436	OTHER	FL	BCBS
4	591268685	OTHER	FL	TAX ID
5	U10328	OTHER		DMERC
6	4269694	OTHER		AETNA
7	OP1217 899	OTHER	FL	WORKERS COMP

General Provider Information

NPI Number	:	1982792412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN P FISHER O.D.

Provider Business Mailing Address
First Line	:	2025 E EDGEWOOD DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33803-3601
Country	:	US
Telephone Number	:	863-665-4515
Fax Number	:	863-665-4516

Provider Business Practice Location Address
First Line	:	2025 E EDGEWOOD DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33803-3601
Country	:	US
Telephone Number	:	863-665-4515
Fax Number	:	863-665-4516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	05/26/2011

Similar Medicare Providers

1629121173 — DR. MABBETT KING RECKORD D.C.
Practice Location Address:

2027 E EDGEWOOD DR
LAKELAND, FL
33803-3601

Practice Phone: 863-665-9597
Practice Fax: 863-665-1588

1083837991 — MR. RODRIGO RICCI OCAMPOS RPT
Practice Location Address:

2039 E EDGEWOOD DR STE 110
LAKELAND, FL
33803-3601

Practice Phone: 863-665-1185
Practice Fax: 863-665-1761

1942460902 — MR. MICHAEL CURTISS M.D.
Practice Location Address:

2039 E EDGEWOOD DR , SUITE B
LAKELAND, FL
33803-3601

Practice Phone: 863-577-1092
Practice Fax: 863-577-1099

1427219773 — SHIRIN YASREBI, DDS
Practice Location Address:

2015 E EDGEWOOD DR
LAKELAND, FL
33803-3601

Practice Phone: 863-667-9000
Practice Fax: 863-665-4368

1063642197 — HARRIETH N ALADIUME
Practice Location Address:

2039 E EDGEWOOD DR
LAKELAND, FL
33803-3601

Practice Phone: 863-937-1050
Practice Fax: 863-937-1055

1275841389 — EYE SPECIALISTS OF MID FLORIDA PA
Practice Location Address:

2025 E EDGEWOOD DR
LAKELAND, FL
33803-3601

Practice Phone: 863-665-4515
Practice Fax: 863-665-4516

Directions to “ DR. ALAN P FISHER O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.