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Individual

DR. EUGENE J. MCGARVEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O. D.

Contact information

Practice address
7747 W JEFFERSON BLVD, SUITE A, FORT WAYNE, IN 46804
(260) 459-8444
(260) 459-8443
Mailing address
7747 W JEFFERSON BLVD, SUITE A, FORT WAYNE, IN 46804-4135
(260) 459-8444
(260) 459-8443

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002781A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20090550
IN
Enumeration date
04/10/2006
Last updated
08/15/2018
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