| NPI | 1174635775 |
|---|---|
| Doing Business As | MICHAEL T. FISHER, O.D. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS FISHER Owner/President 765-488-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18002408A) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-11 |