Individual
DR. JAMES H. PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12101 LIMA RD., FORT WAYNE, IN 46818-9563
(260) 637-3166
(260) 637-3536
Mailing address
12101 LIMA RD., FORT WAYNE, IN 46818-9563
(260) 637-3166
(260) 637-3536
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001491B
IN
Other
Enumeration date
07/24/2006
Last updated
10/15/2011
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