Individual
STEPHANIE LYN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
980 W SOUTH ST, FREEPORT, IL 61032-6777
(158) 232-2020
(815) 235-1712
Mailing address
980 W SOUTH ST, FREEPORT, IL 61032-6777
(158) 232-2020
(815) 235-1712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011687
IL
152W00000X
Optometrist
0618002374
VA
152W00000X
Optometrist
18003871
IN
Other
Enumeration date
10/30/2014
Last updated
07/15/2024
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