Individual
DR. FORREST ABRAM KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
431 W COLISEUM BLVD, FORT WAYNE, IN 46805-1010
(260) 484-8516
(260) 484-8521
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-9244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004268A
IN
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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