Organization
FISCHER LASER EYE CENTER LLC
Active
Other names
Family Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L FISCHER M.D. (OWNER/SURGEON)
(320) 235-2020
Entity
Organization
Contact information
Practice address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
(320) 235-2020
(320) 214-5761
Mailing address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
(320) 235-2020
(320) 214-5761
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5545930
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
703716300
—
MN
01
—
C03116
MEDICARE PTAN
MN
01
—
CJ8506
RAILROAD MEDICARE
MN
Enumeration date
05/08/2006
Last updated
11/25/2014
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