Fish, John Russell
Fish, John Russell is an individual health care provider with primary practice located at 133 Little Conestoga Rd , Chester Springs PA 19425-9562. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Fish, John Russell can be contacted via phone (610) 458-9800.Contact Information
Primary practice address
133 Little Conestoga Rd
Chester Springs PA 19425-9562
Phone: (610) 458-9800
Fax: (610) 458-9806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG-000898 | Pennsylvania |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OEG-000898 | Pennsylvania |
Profile Details
| NPI number | 1841233400 |
|---|---|
| LBN Legal business name | Fish, John Russell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jun 12th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841233400 | NPPES |
| Pennsylvania | Other | 39D2059303 | CLIA |
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