Healther Providers Data Logo

15D2102684 CLIA NUMBER - EYE CENTER OF FORT WAYNE, THE

Laboratory Demographics

CLIA Number: 15D2102684

Facility Name: EYE CENTER OF FORT WAYNE, THE

Facility Address:
321 E WAYNE ST
FORT WAYNE, IN
ZIP 46802
Get Directions

Facility Phone Number: 260 424-5656

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1538216023

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 15D2102684
LAB Type Physician Office
Facility Name EYE CENTER OF FORT WAYNE, THE
Street 321 E WAYNE ST
City FORT WAYNE
State IN
ZIP 46802
Phone 260 424-5656
CertificateType 4
CertificateEffectiveDate 9/28/2023
CertificateExpirationDate 9/27/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024