Organization
MICHAEL J. BANGERT O.D. INC.
Active
Other names
Family EyeCare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES BANGERT O.D. (OWNER)
(260) 432-5502
Entity
Organization
Contact information
Practice address
4626 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6826
(260) 432-5502
(260) 432-8415
Mailing address
4626 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6826
(260) 432-5502
(260) 432-8415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
56000085A
IN
Other
Enumeration date
01/26/2007
Last updated
07/30/2013
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