White, Martin R.
White, Martin R. is an individual health care provider with primary practice located at 6110 Maplecrest Rd , Fort Wayne IN 46835-2524. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. White, Martin R. can be contacted via phone (260) 486-8833.Contact Information
Primary practice address
6110 Maplecrest Rd
Fort Wayne IN 46835-2524
Phone: (260) 486-8833
Fax: (260) 486-8784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002542B | Indiana |
Profile Details
| NPI number | 1003816943 |
|---|---|
| LBN Legal business name | White, Martin R. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Feb 24th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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