Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALE FREDERICK FATH, OD
ActiveDALE FREDERICK FATH, OD is a Optometrist healthcare provider located in FT WAYNE, Indiana. NPI 1750358347 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FT WAYNE, IN
Registration Details
- NPI Number
- 1750358347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2006 (20.432976453364 yrs)
- Last Updated
- Jul 9, 2007
- License
-
18001634A (IN)
Practice Information
- Address
-
7750 W JEFFERSON BLVDFT WAYNE, IN, 46804Browse IN providers · Browse ZIP 46804
- Phone
- 2604599595
- Fax
- 2604599494
- Primary Specialty
-
Optometrist
152W00000X
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.