Individual
DR. AMY A FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2756 S BROADWAY AVE., TYLER, TX 75701-5412
(903) 525-9502
(903) 525-9465
Mailing address
2756 S. BROADWAY AVE, TYLER, TX 75701-5412
(903) 525-9502
(903) 525-9465
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6010T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143578601
—
TX
01
—
80339Q
BCBS
TX
01
—
P00072391
MEDICARE RR
TX
Enumeration date
12/21/2006
Last updated
09/25/2013
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