Organization
OPHTHALMOLOGY CONSULTANTS OF FORT WAYNE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA PIEPER (PRACTICE MANAGER)
(260) 969-1222
Entity
Organization
Contact information
Practice address
10186 DUPONT CIRCLE DR E, FORT WAYNE, IN 46825-1638
(260) 436-7205
(260) 432-1339
Mailing address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 436-7205
(260) 432-1339
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103080E
—
IN
Enumeration date
11/29/2005
Last updated
08/05/2020
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