Ophthalmology Consultants Of Fort Wayne, P.c. | |
7232 Engle Rd, Fort Wayne, IN 46804-2222 | |
(260) 436-7205 | |
(260) 432-1339 |
Full Name | Ophthalmology Consultants Of Fort Wayne, P.c. |
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Type | Facility |
Speciality | Ophthalmology |
Location | 7232 Engle Rd, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861476210 | NPI | - | NPPES |
100103080A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | 50002512A (Indiana) | Primary |
Provider Name | Jeffrey D Hudson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831196765 PECOS PAC ID: 0749254365 Enrollment ID: I20040820000313 |
Provider Name | Dawn D Frederickson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760489009 PECOS PAC ID: 9739271198 Enrollment ID: I20070815000710 |
Provider Name | Julie A Manry |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326000423 PECOS PAC ID: 0345404034 Enrollment ID: I20120608000272 |
Provider Name | Brian C Miller |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548403074 PECOS PAC ID: 5395985675 Enrollment ID: I20130710000153 |
Provider Name | Zachary Robert Felger |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326657081 PECOS PAC ID: 8628493707 Enrollment ID: I20200806001476 |
Provider Name | Rachel Marie Kawiecki |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1184152845 PECOS PAC ID: 3678840279 Enrollment ID: I20210702002013 |
Provider Name | Kristina Byzyka |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124680129 PECOS PAC ID: 1052649852 Enrollment ID: I20230717000886 |
Mailing Address | Practice Location Address |
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Ophthalmology Consultants Of Fort Wayne, P.c. 7232 Engle Rd, Fort Wayne, IN 46804-2222 Ph: (260) 436-7205 | Ophthalmology Consultants Of Fort Wayne, P.c. 7232 Engle Rd, Fort Wayne, IN 46804-2222 Ph: (260) 436-7205 |