DR. FRED NMN FISCH (O.D.) – Optometrist, NPI 1003814419

DR. FRED NMN FISCH (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT-000618 (AZ). The NPI Number for DR. FRED NMN FISCH (O.D.) is 1003814419

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. FRED NMN FISCH (O.D.)
NPI
1003814419
Phone
(703) 847-8899
Address
8614 WESTWOOD CENTER DR FL 9
Enumeration Date
9 July 2005
Last Update Date
9 January 2026

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4808346367
Graduation Year
1980 (46 years ago)
PAC ID
6002846789
Group Practice PAC ID
4789678301
Professional Enrollment ID
I20050813000080
Address ID
AZ852106042ME1940XDRXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

847 OPTOMETRY in AZ

Provider Addresses for DR. FRED NMN FISCH (O.D.)

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 1940 S COUNTRY CLUB DR STE 102

    MESA, AZ 852106042

    Phone: (480) 834-6367

    Fax: (480) 834-7277

    Type: Location

  • East Palm Ridge Drive, Scottsdale, Maricopa County, Arizona, 85260-2222, United States

    SCOTTSDALE, AZ 852603879

    Phone: (480) 661-6158

    Type: Mailing

  • South Country Club Drive, Mesa, Maricopa County, Arizona, 85201, United States

    MESA, AZ 852106008

    Phone: (480) 834-6367

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $376.

Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($174).

Total Amount

$376

General + Research + Ownership

Payments

27

Total payment records

General Amount

$376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050813000080IOptometryAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes178112$0
92014Established patient complete exam of visual system157157$0
92133Imaging of optic nerve128119$0
92083Exam of visual field with extended testing117111$0
92004New patient complete exam of visual system2424$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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Provider's Procedures

DR. FRED NMN FISCH (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAZ92083Measurement of field of vision during daylight conditions128124

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789678301View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YAZ
O P T O M E T R YAZ
O P T O M E T R YAZ
-AZ

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. FRED NMN FISCH (O.D.)?
DR. FRED NMN FISCH (O.D.) — NPI 1003814419 — is the standard way to identify this listing.
Can I rely on DR. FRED NMN FISCH (O.D.) being an active provider?
As of the registry snapshot, DR. FRED NMN FISCH (O.D.) is marked active.
What is DR. FRED NMN FISCH (O.D.)'s specialty?
The listing groups DR. FRED NMN FISCH (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. FRED NMN FISCH (O.D.)?
DR. FRED NMN FISCH (O.D.)'s geographic hint is Vienna, Virginia in our summary view.
Why does DR. FRED NMN FISCH (O.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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