Organization
JOHN R. FISH, O.D. INC.
Active
Other names
Eagle Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RUSSELL FISH O.D. (PRESIDENT)
(610) 458-9800
Entity
Organization
Contact information
Practice address
133 LITTLE CONESTOGA RD, CHESTER SPRINGS, PA 19425-9562
(610) 458-9800
(610) 458-9806
Mailing address
155 LITTLE CONESTOGA STREET, PO BOX 310, UWCHLAND, PA 19480
(610) 458-9800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00477114
RAILROAD MEDICARE
PA
Enumeration date
05/30/2007
Last updated
04/14/2020
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