Steven Ison

NPI #1083136030 in Fort Wayne, Indiana

Provider Information

NPI Number: 1083136030
Entity Type: Individual
Name: Steven Ison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jul 12, 2017
Last Updated: Jul 17, 2017

Practice Location

Address: 3401 LAKE AVE
City: Fort Wayne
State: Indiana
ZIP Code: 46805-5500
Phone: (260) 426-3095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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