Organization
THE EYE SURGICAL CENTER OF FORT WAYNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN REX PARENT M.D. (PHYSICIAN/OWNER)
(260) 422-5976
Entity
Organization
Contact information
Practice address
321 E WAYNE ST, FORT WAYNE, IN 46802-2713
(260) 422-5976
(260) 424-4511
Mailing address
321 E WAYNE ST, FORT WAYNE, IN 46802-2713
(260) 422-5976
(260) 424-4511
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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