Most Relevant Information
Provider Data
| NPI Number: | 1003814419 |
| Provider Name: | FRED NMN FISCH O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 618 |
Most Important Dates
| Enumeration Date: | 07/09/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1950 S COUNTRY CLUB DR
MESA
AZ
852106008
Practice Location Phone/Fax
| Phone: | 4808346367 |
| Fax: |
Provider Mailing Location
9743 E PALM RIDGE DR
SCOTTSDALE
AZ
852603879
Provider Mailing Phone/Fax
| Phone: | 4806616158 |
| Fax: |