BARRY J CLOSE OD INC. NPI 1912189507

NPI Information

BARRY J CLOSE OD, INC. is an eyewear supplier in Fort Wayne, IN. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BARRY J CLOSE OD, INC. NPI is 1912189507. The provider is registered as an organization entity type.

The provider's business location address is:

2821 E STATE BLVD
FORT WAYNE, IN
ZIP 46805-732
Phone: (260) 482-9514

The provider's authorized official is Barry Joseph Close .
The authorized official title is President and has the following contact phone number (260) 482-9514.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 3/17/2008.

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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