Fort Wayne Family Eyecare

NPI #1396778882 in Fort Wayne, Indiana

Provider Information

NPI Number: 1396778882
Entity Type: Organization
Organization Name: Fort Wayne Family Eyecare
Primary Specialty: Optometrist
Enumeration Date: Jul 8, 2006
Last Updated: Aug 8, 2008

Practice Location

Address: 1515 E PAULDING RD
City: Fort Wayne
State: Indiana
ZIP Code: 46816-1252
Phone: (260) 744-2273

Authorized Official

Name: DR. MARK A INGLE, O.D.
Title: PRESIDENT
Phone: (260) 744-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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