Organization
NORTHEAST FAMILY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ZACHMAN O.D. (OWNER)
(260) 482-9514
Entity
Organization
Contact information
Practice address
2821 E STATE BLVD, FORT WAYNE, IN 46805-4732
(260) 482-9514
(260) 203-5391
Mailing address
2821 E STATE BLVD, FORT WAYNE, IN 46805-4732
(260) 482-9514
(260) 203-5391
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/30/2021
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