Family First Vision Care Indiana LLC

NPI #1497125017 in Fort Wayne, Indiana

Provider Information

NPI Number: 1497125017
Entity Type: Organization
Organization Name: Family First Vision Care Indiana LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 25, 2015
Last Updated: Apr 28, 2023

Practice Location

Address: 4201 COLDWATER RD
City: Fort Wayne
State: Indiana
ZIP Code: 46805-1113
Phone: (260) 483-9568

Authorized Official

Name: NICOLE JANDERNAL
Title: CREDENTIALING MANAGER
Phone: (732) 236-7067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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