Individual
DR. KURT W. DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3401 LAKE AVE, FORT WAYNE, IN 46805-5500
(260) 422-6396
(260) 420-2258
Mailing address
3401 LAKE AVE, FORT WAYNE, IN 46805-5500
(260) 422-6396
(260) 420-2258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1800214R
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103980A
—
IN
Enumeration date
08/23/2005
Last updated
06/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us