# OPHTHALMOLOGY CONSULTANTS OF FORT WAYNE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surgery Center of Ophthalmology Consultants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194708792
- **Authorized official:** TRICIA PIEPER (PRACTICE MANAGER)
- **Authorized official phone:** (260) 436-7205

## Contact information

- **Practice address:** 7232 ENGLE RD, FORT WAYNE, IN 46804-2222
- **Practice address phone:** (260) 436-7205
- **Practice address fax:** (260) 432-1339
- **Mailing address:** 7232 ENGLE RD, FORT WAYNE, IN 46804-2222
- **Mailing address phone:** (260) 436-7205
- **Mailing address fax:** (260) 432-1339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 05-009567-1 | IN | Yes |

## Other

- **Enumeration date:** 11/29/2005
- **Last updated:** 08/05/2020