Organization
OPHTHALMOLOGY CONSULTANTS OF FORT WAYNE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA PIEPER (PRACTICE MANAGER)
(260) 436-7205
Entity
Organization
Contact information
Practice address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 436-7205
(260) 432-1339
Mailing address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 436-7205
(260) 432-1339
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
50002512A
IN
Other
Enumeration date
12/01/2006
Last updated
08/05/2020
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