Organization
VISION CARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L EGGEBRECHT OD (OPTOMETRIST OWNER)
(260) 459-9595
Entity
Organization
Contact information
Practice address
7750 W JEFFERSON BLVD, FORT WAYNE, IN 46804
(260) 459-9595
(260) 459-9494
Mailing address
7750 W JEFFERSON BLVD, FORT WAYNE, IN 46804
(260) 459-9595
(260) 459-9494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
IN
207W00000X
Ophthalmology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200225590A
—
IN
Enumeration date
10/02/2006
Last updated
11/14/2013
Update your record
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