Dale Frederick Fath, OD is a
Optometrist based in Ft Wayne, Indiana. Dale Frederick Fath is licensed to practice in Indiana (license number 18001634A) and his current practice location is
7750 W Jefferson Blvd, Ft Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at
(260) 459-9595.
NPI number for Dale Frederick Fath is 1750358347 and his current mailing address is 7750 W Jefferson Blvd, Fort Wayne, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750358347.
Healthcare Provider's Profile
Full Name | Dale Frederick Fath |
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Gender | Male |
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Speciality | Optometrist |
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Location | 7750 W Jefferson Blvd, Ft Wayne, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750358347
- Provider Enumeration Date: 03/02/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dale Frederick Fath such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750358347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 18001634A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dale Frederick Fath is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dale Frederick Fath, OD 7750 W Jefferson Blvd, Fort Wayne, IN 46804 Ph: (260) 459-9595 | Dale Frederick Fath, OD 7750 W Jefferson Blvd, Ft Wayne, IN 46804 Ph: (260) 459-9595 |
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