Provider Demographics
NPI:1689772030
Name:CARL M FISHER DO INC.
Entity Type:Organization
Organization Name:CARL M FISHER DO INC.
Other - Org Name:OKLAHOMA EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:M
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-250-8555
Mailing Address - Street 1:3709 S ORANGE CIR
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74011-1103
Mailing Address - Country:US
Mailing Address - Phone:918-250-2171
Mailing Address - Fax:918-459-0575
Practice Address - Street 1:3709 S ORANGE CIR
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74011-1103
Practice Address - Country:US
Practice Address - Phone:918-250-2171
Practice Address - Fax:918-459-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOK1676207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty