DR. KEITH F FISHE (NPI# 1649482274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649482274 |
| Entity Type | Individual |
| Full Name | DR. KEITH F FISHE |
| Credential | O.D. |
| Practice Address |
3580 Memorial Dr Decatur GA 30032-2723 |
| Mailing Address |
2283 North Decatur Rd Decatur GA 30030-5423 |
| Practice Telephone | 4042840701 |
| Practice Fax Number | 4042840703 |
| Mailing Telephone | 7703143756 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2015-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1157T | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00528844B | 05 | |
| GA | 00528844A | 05 |
| Street Address |
3580 MEMORIAL DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951006 | Lydia Im | Pharmacist | 3580 Memorial Dr, Decatur, GA 30032-2723 | 2020-10-31 |
| 1972103448 | Sharesia Bell | Pharmacist | 3580 Memorial Dr, Decatur, GA 30032-2723 | 2020-10-26 |
| 1710156773 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 3580 Memorial Dr, Decatur, GA 30032-2713 | 2008-02-25 |
| 1538346580 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3580 Memorial Dr, Decatur, GA 30032-2723 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340172 | National Vision Inc | Optometrist | 1107 Beltline Rd Se Ste C, Decatur, AL 35601-6556 | 2020-09-09 |
| 1902433691 | Decatur Eye Care | Optometrist | 321 W Hill St Ste 6, Decatur, GA 30030-4362 | 2020-03-24 |
| 1114468089 | T&t Eyecare, LLC | Optometrist | 2570 Blackmon Dr., Suite 360, Decatur, GA 30033 | 2017-03-13 |
| 1487952503 | Michael A. Harshman P.C. | Optometrist | 815 S 13th St, Decatur, IN 46733-1803 | 2011-03-14 |
| 1962736660 | Johnny H Lott Jr. | Optometrist | 2301 Point Mallard Dr Se, Decatur, AL 35601-6741 | 2009-09-28 |
| 1033371729 | Jonathan R Bradley | Optometrist | 4837 E Rt 36, Central Illinois Vision Center, Decatur, IL 62521 | 2008-06-25 |
| 1962524033 | Asfaw Kindeya Natu | Optometrist | 2050 Lawrenceville Hwy Ste D50, Decatur, GA 30033-4316 | 2007-04-06 |
| 1821122060 | Shama Jitendra Patel | Optometrist | 2851 Candler Rd, Suite 100, Decatur, GA 30034-1412 | 2007-03-16 |
| 1306977103 | Marc Vision Care, Ltd. | Optometrist | 2705 N Water St Ste C, Decatur, IL 62526-6502 | 2007-03-07 |
| 1346389301 | Thomas Christopher Brillante | Optometrist | 321 W Hill St, Suite 6, Decatur, GA 30030-4362 | 2007-02-06 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.