Fisher, Amy A
Fisher, Amy A is an sole proprietor health care provider with primary practice located at 2756 S Broadway Ave. , Tyler TX 75701-5412. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fisher, Amy A can be contacted via phone (903) 525-9502.Contact Information
Primary practice address
2756 S Broadway Ave.
Tyler TX 75701-5412
Phone: (903) 525-9502
Fax: (903) 525-9465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6010T | Texas |
Profile Details
| NPI number | 1538223532 |
|---|---|
| LBN Legal business name | Fisher, Amy A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Sep 25th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538223532 | NPPES |
| Texas | Other | P00072391 | MEDICARE RR |
| Texas | MEDICAID | 143578601 | MEDICARE RR |
| Texas | Other | 80339Q | MEDICARE RR |
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