Organization
MARTIN R WHITE OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN WHITE O.D. (OWNER/PRESIDENT)
(260) 486-8833
Entity
Organization
Contact information
Practice address
6110 MAPLECREST RD, FORT WAYNE, IN 46835-2524
(260) 486-8833
(260) 486-8784
Mailing address
6110 MAPLECREST RD, FORT WAYNE, IN 46835-2524
(260) 486-8833
(260) 486-8784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002542
IN
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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