Dan Lee Fortenbacher O.D.

  • NPI 1760519946
According to our database, the NPI number for Dan Lee Fortenbacher O.D. is 1760519946 and activated since 17 years ago. Dan Lee Fortenbacher O.D. is an individual provider who specializes in Optometrist, and the primary practice location is 2908 Division Street, St Joseph, MI 49085. You can also contact Dan Lee Fortenbacher O.D. via telephone number is (269) 983-3309. Provider NPI information was last updated on 05/20/2015.

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Overview of Dan Lee Fortenbacher O.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/27/2007
  • Last updated: 05/20/2015

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 4901002693
  • License State: MI

Provider Mailing Address

  • Address: 2908 Division Street
    St Joseph, MI 49085
  • Phone: 269-983-3309
  • Fax: 269-983-0846

Provider Practice Location

  • Address: 2908 Division Street
    St Joseph, MI 49085
  • Phone: 269-983-3309
  • Fax: 269-983-0846

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 4901002693
  • License State: MI
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 900A165280
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: BLUE CROSS BLUE SHIELD OF MICHIGAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dan Lee Fortenbacher O.D.?
  • A: The npi number for Dan Lee Fortenbacher O.D. is 1760519946.
  • Q: What are Dan Lee Fortenbacher O.D.'s specialties?
  • A: Dan Lee Fortenbacher O.D.'s specialties are Optometrist and different specialities.
  • Q: What is the medical license for Dan Lee Fortenbacher O.D.?
  • A: The medical license number for Dan Lee Fortenbacher O.D. is 4901002693 and issued in MI in USA.
  • Q: Where is Dan Lee Fortenbacher O.D. practice location?
  • A: Dan Lee Fortenbacher O.D. is practicing at 2908 Division Street, St Joseph, MI 49085.
  • Q: How to contact Dan Lee Fortenbacher O.D.?
  • A: You can contact Dan Lee Fortenbacher O.D. via 269-983-3309.