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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NORTHEAST OPHTHALMOLOGY P C

Active Organization

NORTHEAST OPHTHALMOLOGY P C is a Ophthalmology organization located in FORT WAYNE, Indiana. NPI 1265418719 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · FORT WAYNE, IN

Registration Details

NPI Number
1265418719
Provider Type
Organization
NPI Issued
Dec 16, 2005 (20.641799968143 yrs)
Last Updated
Jun 20, 2014
License
50003294A (IN)

Practice Information

Address
3301 LAKE AVE
FORT WAYNE, IN, 468055529
Browse IN providers · Browse ZIP 46805
Phone
2604223937
Fax
2604246900
Primary Specialty
Ophthalmology
207W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.