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Organization

NORTHEAST OPHTHALMOLOGY P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA SCHROEDER (PARTNER)
(260) 422-3937
Entity
Organization

Contact information

Practice address
11277 TWIN CREEKS DR, FORT WAYNE, IN 46845-2205
(260) 422-3937
Mailing address
3301 LAKE AVE, FORT WAYNE, IN 46805-5529
(260) 422-3937
(260) 424-6900

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300062541
IN
Enumeration date
11/04/2022
Last updated
11/04/2022
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