Individual
HERBERT A FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3121 N REYNOLDS RD STE 4, BRYANT, AR 72022-9190
(501) 653-2288
(501) 653-2404
Mailing address
3121 N REYNOLDS RD STE 4, BRYANT, AR 72022-9190
(501) 653-2288
(501) 653-2404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2062
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104318722
—
AR
01
—
826540193
MEDICARE RAILROAD
AR
Enumeration date
11/02/2005
Last updated
06/16/2008
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