Organization
OPHTHALMOLOGY CONSULTANTS OF FORT WAYNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MILLER (PRACTICE MANAGER)
(260) 969-1222
Entity
Organization
Contact information
Practice address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 436-7205
Mailing address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 436-7205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
08/24/2007
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