Individual
DR. NATHAN DANIEL ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 421-1823
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
(260) 421-1823
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3189
TN
Other
Enumeration date
06/06/2013
Last updated
08/30/2021
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