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Organization

NORTHEAST OPHTHALMOLOGY P C

Active
Parent organization
NORTHEAST OPHTHALMOLOGY P C
Other names
Vision Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHEAST OPHTHALMOLOGY P C
Authorized official
BARBARA SCHROEDER MD (PARTNER)
(260) 422-3937
Entity
Organization

Contact information

Practice address
7750 W JEFFERSON BLVD STE B, FORT WAYNE, IN 46804-4174
(260) 459-9595
Mailing address
7750 W JEFFERSON BLVD STE B, FORT WAYNE, IN 46804-4174
(260) 459-9595

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300007703
IN
Enumeration date
08/07/2019
Last updated
11/05/2019
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