Organization
FEICHTNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FEICHTNER OD (OWNER)
(419) 569-0696
Entity
Organization
Contact information
Practice address
700 E COLISEUM BLVD, FORT WAYNE, IN 46805-1220
(260) 482-2020
Mailing address
11106 CEDAR TRL, FORT WAYNE, IN 46845-9024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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