# DAVID H FISHER JR INC THE VISION CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215048624
- **Authorized official:** DR. DAVID H FISHER JR. OD (OPTOMETRIST)
- **Authorized official phone:** (337) 237-2110

## Contact information

- **Practice address:** 1458 S COLLEGE RD, LAFAYETTE, LA 70503-2912
- **Practice address phone:** (337) 237-2110
- **Practice address fax:** (337) 237-1632
- **Mailing address:** 1458 S COLLEGE RD, LAFAYETTE, LA 70503-2912
- **Mailing address phone:** (337) 237-2110
- **Mailing address fax:** (337) 237-1632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1069-201-T | LA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 10/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1215048624 | — | LA |
| 05 | — | 1943321 | — | LA |
| 01 | — | 2482B | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 410035355 | RAILROAD MEDICARE | — |
| 01 | — | 5013447 | AETNA | — |