Provider Demographics
NPI:1194749655
Name:FISHER, JARED HAMILTON (OD)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:HAMILTON
Last Name:FISHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:403 WOODLAND SHORES RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2426
Mailing Address - Country:US
Mailing Address - Phone:843-817-5824
Mailing Address - Fax:843-720-8984
Practice Address - Street 1:201 EDDIE CHASTEEN DR
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-5728
Practice Address - Country:US
Practice Address - Phone:843-549-2015
Practice Address - Fax:843-549-0104
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC1424152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist