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Individual
DR. ALAN P FISHER
Active
Individual
DR. ALAN P FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084841700
—
FL
01
—
19436
BCBS
FL
01
—
4269694
AETNA
—
01
—
540002113
RAILROAD MEDICARE
—
01
—
591268685
TAX ID
FL
01
—
OP1217 899
WORKERS COMP
FL
01
—
U10328
DMERC
—
Enumeration date
10/10/2006
Last updated
05/26/2011
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