Organization
FORT WAYNE OPHTHALMOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN REX PARENT (OWNER)
(260) 424-5656
Entity
Organization
Contact information
Practice address
321 E WAYNE ST, FORT WAYNE, IN 46802-2713
(260) 424-5656
(260) 424-4511
Mailing address
321 E WAYNE ST, FORT WAYNE, IN 46802-2713
(260) 424-5656
(260) 424-4511
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
02/22/2008
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