Provider Demographics
NPI:1619007085
Name:ERNST F. FISCHER O.D., INC.
Entity Type:Organization
Organization Name:ERNST F. FISCHER O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNST
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:937-864-2831
Mailing Address - Street 1:31 REBERT PIKE
Mailing Address - Street 2:
Mailing Address - City:ENON
Mailing Address - State:OH
Mailing Address - Zip Code:45323-1826
Mailing Address - Country:US
Mailing Address - Phone:937-864-2831
Mailing Address - Fax:
Practice Address - Street 1:31 REBERT PIKE
Practice Address - Street 2:
Practice Address - City:ENON
Practice Address - State:OH
Practice Address - Zip Code:45323-1826
Practice Address - Country:US
Practice Address - Phone:937-864-2831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHFI0157121Medicare ID - Type Unspecified