Eyecare Express

NPI #1043737737 in Fort Wayne, Indiana

Provider Information

NPI Number: 1043737737
Entity Type: Organization
Organization Name: Eyecare Express
Subpart: Yes (part of a larger organization)
Parent Organization: EYECARE EXPRESS
Primary Specialty: Optometrist
Enumeration Date: Aug 24, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 4826 ILLINOIS RD
City: Fort Wayne
State: Indiana
ZIP Code: 46804-1166
Phone: (260) 434-2021

Authorized Official

Name: MISS SHAWNDA TAYLOR
Title: OPTICIAN/DOCTOR TECH
Phone: (260) 482-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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