Fort Wayne Family Eyecare Pc

NPI 1730112228 - Optometrist - 152W00000X

NPI Details
NPI 1730112228
Enumeration Date 07/08/2006
Last Updated 03/24/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK A MARK
Position PRESIDENT
Phone (260) 489-5544
Fax
Practice Location
9426 LIMA RD
SUITE C
FORT WAYNE IN, 46818-8934, US
Phone (260) 489-5544
Fax
Business Location
9426 LIMA RD
SUITE C
FORT WAYNE IN, 46818-8934, US
Phone (260) 489-5544
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
Remove 1730112228 NPI Number
 

According to our database, Fort Wayne Family Eyecare Pc NPI is 1730112228, taxonomy code is 152W00000X Fort Wayne Family Eyecare Pc physically located at 9426 Lima Rd, Fort Wayne IN, 46818-8934. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1730112228 NPI number is provided on an as is basis without warranty of any kind. 1730112228 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Wayne Family Eyecare Pc are for informational purposes only.