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

DR. KURT W. DOUGHERTY, OD

Active Sole Proprietor

DR. KURT W. DOUGHERTY, OD is a Optometrist healthcare provider located in FORT WAYNE, Indiana. NPI 1295727519 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FORT WAYNE, IN

Registration Details

NPI Number
1295727519
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2005 (20.795321735469 yrs)
Last Updated
Jun 18, 2008
License
1800214R (IN)
Sole Proprietor
Yes

Practice Information

Address
3401 LAKE AVE
FORT WAYNE, IN, 468055500
Browse IN providers · Browse ZIP 46805
Phone
2604226396
Fax
2604202258
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in FORT WAYNE, IN

Name Credential NPI
DR. KEVIN A. WHITELEATHER OD 1497758395
DAWN D. FREDERICKSON O.D. 1760489009
DR. JAMES ERVIN BLUME O.D. 1831197276
DR. MONA RUTH DEWART O.D. 1306844501
DR. MARTIN R. WHITE O.D. 1003816943
DR. BRADLEY S BASHAM O.D. 1477547628
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.