Fort Wayne Ophthalmic Surgical Center, Pc

LBN: Fort Wayne Ophthalmic Surgical Center, Pc
Fort Wayne Ophthalmic Surgical Center, Pc is an health care organization with primary practice located at 321 E. Wayne Street , Fort Wayne IN 46802-2713. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Fort Wayne Ophthalmic Surgical Center, Pc can be contacted via phone (260) 422-5976, or through Parent, John Rex via phone (260) 424-5656.

Contact Information

Primary practice address
321 E. Wayne Street Fort Wayne IN 46802-2713
Phone: (260) 422-5976
Fax: (260) 969-1041
Website:
Map and Directions
Authorized official contact:
Name: Parent, John Rex
Phone: (260) 424-5656

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Indiana

Profile Details

NPI number 1881871580
LBN Legal business name Fort Wayne Ophthalmic Surgical Center, Pc
DBA Doing business as
Authorized official Parent, John Rex
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2008
Last updated Feb 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881871580 NPPES
Indiana Other 000000097949 ANTHEM PIN

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