Martin R. White O.D.

NPI 1003816943 - Optometrist - 152W00000X

NPI Details
NPI 1003816943
Gender Male
Enumeration Date 07/21/2005
Last Updated 02/24/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
6110 MAPLECREST RD
FORT WAYNE IN, 46835-2524, US
Phone (260) 486-8833
Fax (260) 486-8784
Business Location
6110 MAPLECREST RD
FORT WAYNE IN, 46835-2524, US
Phone (260) 486-8833
Fax (260) 486-8784
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18002542B
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According to our database, Dr. Martin R. White O.D. NPI is 1003816943, taxonomy code is 152W00000X and license number is 18002542B, license state is located at Indiana. Martin R. White O.D. physically located at 6110 Maplecrest Rd, Fort Wayne IN, 46835-2524. NPI Number Martin R. White O.D. has the Individual type.

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1003816943 NPI number is provided on an as is basis without warranty of any kind. 1003816943 is maintained by the National Plan & Provider Enumeration System. The contents of Martin R. White O.D. are for informational purposes only.