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Individual

DR. CARL O MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
10343 DAWSONS CREEK BLVD, STE B, BLDG 6, FORT WAYNE, IN 46825-1906
(260) 497-7973
(260) 497-7986
Mailing address
10343 DAWSONS CREEK BLVD, STE B, BLDG 6, FORT WAYNE, IN 46825-1906
(260) 497-7973
(260) 497-7986

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18002177A
IN
152WV0400X
Vision Therapy Optometrist
Primary
18002177A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821059320
CORPORATION NPI
IN
05
200427750A
IN
Enumeration date
05/04/2007
Last updated
12/27/2018
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