Individual
DR. MICHAEL A. FISHBAUGH JR.
Active
Individual
DR. MICHAEL A. FISHBAUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4643/T1418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141871
BC/BS
OH
05
—
0172343
—
OH
01
—
04072
PARAMOUNT HEALTHCARE
OH
01
—
34184720300
ST HENRY BWC
OH
01
—
34184720301
DOC BWC
OH
01
—
360656
NVA
OH
01
—
410046531
RAILROAD MEDICARE
OH
01
—
FI266725
CLARITY
OH
Enumeration date
07/13/2005
Last updated
12/12/2023
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