Organization
NORTHEAST OPHTHALMOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA SCHROEDER M.D. (MD/PRACTITIONER)
(260) 422-3937
Entity
Organization
Contact information
Practice address
3301 LAKE AVE, FORT WAYNE, IN 46805-5529
(260) 422-3937
(260) 424-6900
Mailing address
3301 LAKE AVE, FORT WAYNE, IN 46805-5529
(260) 422-3937
(260) 424-6900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
50003294A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100049040A
—
IN
01
—
CB2291
RR MEDICARE
IN
Enumeration date
12/16/2005
Last updated
06/20/2014
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