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JOHN A FISCHER O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1689719361
Individual Registrant: JOHN A FISCHER O.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
247 MAIN ST DURYEA, PA 18642 US
Tel: 570-457-9770 Fax: 570-451-6332
Tel: 570-457-9770 Fax: 570-451-6332
Contact information for business:
247 MAIN ST DURYEA, PA 18642 US
Tel: 570-457-9770 Fax: 570-451-6332
Tel: 570-457-9770 Fax: 570-451-6332
Registration Information:
NPI: 1689719361
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | PA | OEG00758 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 15-01410308 | PA | 05 |
