Individual
MADELINE HOBBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 LAKE AVE, FORT WAYNE, IN 46805-5500
(260) 426-3095
(260) 420-2258
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004286B
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2021
Last updated
10/18/2021
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