Individual
ALLISON TRELEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802
(260) 458-2641
Mailing address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003981A
IN
Other
Enumeration date
08/26/2016
Last updated
07/05/2018
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