Individual
JOHN A FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
247 MAIN ST, DURYEA, PA 18642
(570) 457-9770
(570) 451-6332
Mailing address
247 MAIN ST, DURYEA, PA 18642
(570) 457-9770
(570) 451-6332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG00758
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-01410308
—
PA
Enumeration date
02/21/2007
Last updated
07/09/2007
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