Individual
BRIAN DAVID FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5130
(352) 674-5027
Mailing address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5131
(352) 384-7460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00655300
NJ
152W00000X
Optometrist
OPC 4987
FL
Other
Enumeration date
08/08/2013
Last updated
05/21/2024
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