Individual
DR. AARON CHRISTOPHER FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
333 E COLISEUM BLVD, FORT WAYNE, IN 46805-1003
(260) 483-2020
Mailing address
11819 WOODSTREAM RIDGE CT, FORT WAYNE, IN 46845-1911
(260) 338-2364
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002970
IN
152W00000X
Optometrist
4929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200271580
—
IN
Enumeration date
01/31/2007
Last updated
12/11/2012
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