Individual
BRANDON CALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9610 LIMA ROAD, SUITE 103, FORT WAYNE, IN 46818-9998
(260) 440-8388
(260) 999-5645
Mailing address
9610 LIMA ROAD SUITE 103, FORT WAYNE, IN 46818
(260) 440-8388
(260) 999-5645
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003992A
IN
Other
Enumeration date
07/14/2016
Last updated
03/11/2024
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