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

RANDY FORTKAMP, OD

Active

RANDY FORTKAMP, OD is a Optometrist healthcare provider located in MARION, Indiana. NPI 1770159337 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MARION, IN

Registration Details

NPI Number
1770159337
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2021 (5.1827458443528 yrs)
Last Updated
Jun 3, 2021
License
18004260A (IN)

Practice Information

Address
711 N RIVER DR
MARION, IN, 469522672
Browse IN providers · Browse ZIP 46952
Phone
7656649637
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MARION, IN

Name Credential NPI
DR. WALTER W SCASE O.D. 1669457255
DR. DANIEL D DIEDRICH O.D. 1154380673
DR. THOMPSON N. ROBBINS O.D. 1821039595
DR. MICHAEL S. ZIRKLE O.D. 1043251887
DR. TODD J FETTIG OD 1326074931
DR. RONALD BRACKENBURY O.D. 1336156561
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.