ROBERT GLEN FISHBACK (NPI# 1710078944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710078944 |
| Entity Type | Individual |
| Full Name | ROBERT GLEN FISHBACK |
| Credential | O.D. |
| Practice Address |
1015 N Demaree St Visalia CA 93291-4117 |
| Practice Telephone | 5597331036 |
| Practice Fax Number | 5597331037 |
| Mailing Telephone | 5597331036 |
| Mailing Fax Number | 5597331037 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5664 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902131824 | Robert Fishback | Specialist | 4521 Mesa Rico, Las Cruces, NM 88011-7215 | 2009-10-09 |
| Street Address |
1015 N DEMAREE ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| 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 |
|---|---|---|---|---|
| 1902358401 | Jonathan Micheal Serrins | Optometrist | 1618 E Caldwell Ave, Visalia, CA 93292-9228 | 2016-10-31 |
| 1780940981 | Jerry Yasuda,o.d. Inc. | Optometrist | 3358 S Fairway St, Visalia, CA 93277-8109 | 2012-04-02 |
| 1275848210 | Macarius, Max & Daniel, LLC | Optometrist | 3530 S Mooney Blvd, Visalia, CA 93277-7774 | 2010-08-14 |
| 1285829861 | Yuwen Lee | Optometrist | 503 S Watson St, Visalia, CA 93277-2641 | 2007-09-07 |
| 1093929085 | Clifford A Fukushima | Optometrist | 5501 W Hillsdale Ave Ste D, Visalia, CA 93291-5159 | 2007-05-09 |
| 1104040781 | Jessica Nicole Chiles | Optometrist | 2333 W Whitendale Ave, Visalia, CA 93277-8701 | 2007-04-12 |
| 1558401810 | Jerry Arnett Yasuda | Optometrist | 3300 South Fairway Ave, Visalia, CA 93277 | 2007-02-07 |
| 1124182050 | Monprapa Chua | Optometrist | 2223 S Mooney Blvd, #820, Visalia, CA 93277-6243 | 2006-12-22 |
| 1023182128 | Mark O. Price | Optometrist | 812 W Oak Ave, Visalia, CA 93291-6034 | 2006-11-20 |
| 1558449850 | Steven Kent Serrins | Optometrist | 3746 S Mooney Blvd, Visalia, CA 93277-8021 | 2006-11-02 |
| Find all providers in VISALIA | ||||
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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.