The Eye Center Of Fort Wayne, Llc | |
321 E Wayne St, Fort Wayne, IN 46802-2713 | |
(260) 424-5656 | |
(260) 424-4511 |
Full Name | The Eye Center Of Fort Wayne, Llc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 321 E Wayne St, 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 |
---|---|---|---|
1174858112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Michael J Hodkin |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003899436 PECOS PAC ID: 2264427640 Enrollment ID: I20040415001080 |
Provider Name | Padma P Ponugoti |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1952419004 PECOS PAC ID: 1355305343 Enrollment ID: I20041118000916 |
Provider Name | John R Parent |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1275545873 PECOS PAC ID: 6800982497 Enrollment ID: I20071011000685 |
Provider Name | James E French |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639163710 PECOS PAC ID: 5395831705 Enrollment ID: I20071017000265 |
Provider Name | Paul A Gill |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447262076 PECOS PAC ID: 3274629688 Enrollment ID: I20071017000280 |
Mailing Address | Practice Location Address |
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The Eye Center Of Fort Wayne, Llc 321 E Wayne St, Fort Wayne, IN 46802-2713 Ph: (260) 424-5656 | The Eye Center Of Fort Wayne, Llc 321 E Wayne St, Fort Wayne, IN 46802-2713 Ph: (260) 424-5656 |