NPI 1003814419

Fred Nmn Fisch, OD

Practitioner Optometrist Mesa, AZ

Practice location

Address: 1940 S Country Club Dr STE 102, Mesa, AZ 85210-6042
Phone: (480) 834-6367
Fax: (480) 834-7277
Mailing address: 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT-000618 (AZ)

Other Optometrist providers in Arizona →

Registry record

NPI: 1003814419
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.