Individual
THOMAS C FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3167 S STATE ROAD 3, NEW CASTLE, IN 47362-1318
(765) 597-0788
Mailing address
6140 CHADWORTH WAY, INDIANAPOLIS, IN 46236-8291
(317) 826-0138
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002815B
IN
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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