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Organization

DAVID H FISHER JR INC THE VISION CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID H FISHER JR. OD (OPTOMETRIST)
(337) 237-2110
Entity
Organization

Contact information

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

Taxonomy

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

Other

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
Enumeration date
08/31/2006
Last updated
10/31/2024
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