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

MICHAEL J. BANGERT O.D. INC.

Active Organization

MICHAEL J. BANGERT O.D. INC. is a Optometrist organization located in FORT WAYNE, Indiana. NPI 1689720054 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FORT WAYNE, IN

Registration Details

NPI Number
1689720054
Provider Type
Organization
NPI Issued
Jan 26, 2007 (19.528672988186 yrs)
Last Updated
Jul 30, 2013
License
56000085A (IN)

Practice Information

Address
4626 W JEFFERSON BLVD
FORT WAYNE, IN, 468046826
Browse IN providers · Browse ZIP 46804
Phone
2604325502
Fax
2604328415
Primary Specialty
Optometrist
152W00000X
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.