Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAN LEE FORTENBACHER, O.D.
Active Sole ProprietorDAN LEE FORTENBACHER, O.D. is a Vision Therapy Optometrist healthcare provider located in ST JOSEPH, Michigan. NPI 1760519946 is currently active in the NPPES registry. Verify at CMS.
Vision Therapy Optometrist · ST JOSEPH, MI
Registration Details
- NPI Number
- 1760519946
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.453521003515 yrs)
- Last Updated
- May 20, 2015
- Licenses
-
4901002693 (MI)4901002693 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2908 DIVISION STREETST JOSEPH, MI, 49085Browse MI providers · Browse ZIP 49085
- Phone
- 2699833309
- Fax
- 2699830846
- Primary Specialty
-
Vision Therapy Optometrist
152WV0400X
- Additional Specialty
- Vision Therapy Optometrist
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.