Organization
BARRY J CLOSE OD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY JOSEPH CLOSE OD (PRESIDENT)
(260) 482-9514
Entity
Organization
Contact information
Practice address
2821 E STATE BLVD, FORT WAYNE, IN 46805-4732
(260) 482-9514
Mailing address
2821 E STATE BLVD, FORT WAYNE, IN 46805-4732
(260) 482-9514
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18001912
IN
Other
Enumeration date
12/05/2007
Last updated
03/17/2008
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