Organization
ALFRED C. WERMUTH, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED C. WERMUTH O.D. (OWNER)
(260) 471-2000
Entity
Organization
Contact information
Practice address
1221 MEDICAL PARK DR, FORT WAYNE, IN 46825-5887
(260) 471-2000
(260) 471-2100
Mailing address
1221 MEDICAL PARK DR, FORT WAYNE, IN 46825-5887
(260) 471-2000
(260) 471-2100
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18001756B
IN
Other
Enumeration date
10/05/2009
Last updated
10/06/2009
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