FORT WAYNE OPHTHALMIC SURGICAL CENTER PC NPI 1881871580

NPI Information

FORT WAYNE OPHTHALMIC SURGICAL CENTER, PC is an ambulatory surgical clinic center in Fort Wayne, IN. FORT WAYNE OPHTHALMIC SURGICAL CENTER, PC NPI is 1881871580. The provider is registered as an organization entity type.

The provider's business location address is:

321 E. WAYNE STREET
FORT WAYNE, IN
ZIP 46802-713
Phone: (260) 422-5976
Fax: (260) 969-1041

The provider's authorized official is John Rex Parent .
The authorized official title is Owner and has the following contact phone number (260) 424-5656.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 2/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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