Individual
DR. NATHANAEL DAVID OGLESBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
207 E MARKET ST, NAPPANEE, IN 46550-2119
(574) 773-4732
(574) 773-2164
Mailing address
207 E MARKET ST, NAPPANEE, IN 46550-2119
(574) 773-4732
(574) 773-2164
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001832B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0198900001
DMERC
IN
05
—
100113090A
—
IN
01
—
410004217
RAILROAD MEDICARE
IN
Enumeration date
07/12/2005
Last updated
10/21/2014
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