Individual
DR. JAMES P FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD PA
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1530
FL
152W00000X
Optometrist
Primary
2791
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078771000
—
FL
01
—
088
FOPN
FL
01
—
112546
EYEMED
FL
01
—
29254
SPECTERA
FL
01
—
63520
DAVIS VISION
TN
01
—
650844073
VSP
FL
01
—
650844073
BCBSTN
TN
01
—
650844073
SUPERIOR VISION
—
01
—
FE29254
OPTUM VISION SPECTERA
TN
Enumeration date
10/17/2006
Last updated
12/22/2011
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