Individual
DR. ERICA LEE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7747 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4135
(260) 459-8444
Mailing address
835 N CASS ST, WABASH, IN 46992-1613
(833) 592-7434
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004479A
IN
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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