Organization
MICHAEL A. FISHBAUGH JR. O.D. INC.
Active
Organization
MICHAEL A. FISHBAUGH JR. O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A FISHBAUGH JR. O. D. (OPTOMETRIST)
(419) 678-8800
Entity
Organization
Contact information
Practice address
570 E KREMER HOYING RD, SAINT HENRY, OH 45883-9613
(419) 678-8800
(419) 678-4224
Mailing address
570 E KREMER HOYING RD, SAINT HENRY, OH 45883-9613
(419) 678-8800
(419) 678-4224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4643 T1418
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172343
—
OH
05
—
2793259
—
OH
01
—
410046531
RAILROAD MEDICARE
OH
Enumeration date
11/05/2007
Last updated
12/12/2023
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