# DR. ALAN P FISHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982792412
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1217 | FL | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 05/26/2011

## 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 | — |