Provider Demographics
NPI:1457776486
Name:CHRIS FISHER OD INC
Entity Type:Organization
Organization Name:CHRIS FISHER OD INC
Other - Org Name:SIGNATURE OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:559-432-0606
Mailing Address - Street 1:5430 N PALM AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-1900
Mailing Address - Country:US
Mailing Address - Phone:559-432-0606
Mailing Address - Fax:559-432-0608
Practice Address - Street 1:275 S MADERA AVE
Practice Address - Street 2:STE 300
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-1403
Practice Address - Country:US
Practice Address - Phone:559-846-8210
Practice Address - Fax:559-432-0608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14832TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty