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Organization

VISIONS OPTICAL, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONA RUTH DEWART O.D. (OWNER)
(260) 432-4060
Entity
Organization

Contact information

Practice address
5014 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
(260) 432-4060
(260) 436-7475
Mailing address
5014 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
(260) 432-4060
(260) 436-7475

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
06/24/2009
Last updated
10/13/2009
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