Individual
ROBERT TEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
409 COLISEUM BLVD E, FORT WAYNE, IN 46825
(260) 739-0129
Mailing address
1145 COUNTRY CLUB DR S, WARSAW, IN 46580-5018
(815) 735-8559
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009790
IL
152W00000X
Optometrist
18003818A
IN
Other
Enumeration date
01/10/2007
Last updated
05/20/2016
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