Organization
THE EYE CENTER OF FORT WAYNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN REX PARENT M.D. (PHYSICIAN /OWNER)
(260) 424-5656
Entity
Organization
Contact information
Practice address
321 E WAYNE ST, FORT WAYNE, IN 46802-2713
(260) 424-5656
(260) 424-4511
Mailing address
321 E WAYNE ST, FORT WAYNE, IN 46802-2713
(260) 424-5656
(260) 424-4511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/08/2009
Last updated
02/18/2013
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