| Organization Name: | GARY W. FISHER O.D.,P.C. |
| NPI Number: | 1487712378 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETH WELSCH (OFFICE ADMINISTRATOR) |
| Mailing Address: | 603 E Main St Anamosa |
| State: | IA US |
| Postal Code: | 522051845 |
| Phone Number: | 3194624891 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 04/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |