Martin R White Od INC

NPI #1134440183 in Fort Wayne, Indiana

Provider Information

NPI Number: 1134440183
Entity Type: Organization
Organization Name: Martin R White Od INC
Primary Specialty: Optometrist
Enumeration Date: Jun 14, 2010
Last Updated: Jun 14, 2010

Practice Location

Address: 6110 MAPLECREST RD
City: Fort Wayne
State: Indiana
ZIP Code: 46835-2524
Phone: (260) 486-8833

Authorized Official

Name: DR. MARTIN WHITE, O.D.
Title: OWNER/PRESIDENT
Phone: (260) 486-8833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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