Fort Wayne Ophthalmic Surgical Center, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FORT WAYNE OPHTHALMIC SURGICAL CENTER, PC

Practice address

321 E. Wayne Street
Fort Wayne, IN 46802-2713

Phone

(260) 422-5976

Fax

(260) 969-1041

NPI assigned

Jan 24, 2008

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Rex ParentNPI 1275545873

Title

Owner

Phone

(260) 424-5656

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Rex Parent, M.D.

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1275545873
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1881871580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E. WAYNE STREET",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022713",
            "telephone_number": "260-422-5976",
            "fax_number": "260-969-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E. WAYNE STREET",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022713",
            "telephone_number": "260-422-5976",
            "fax_number": "260-969-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WAYNE OPHTHALMIC SURGICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-424-5656",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000097949",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fort Wayne Mental Health
• Fort Wayne Mental Health Therapy LLC
• Fort Wayne Neurofeedback, LLC
• Fort Wayne Neuropsychology LLC
• Fort Wayne Nursing and Rehabilitation LLC (Strive Recovery)
• Fort Wayne Ophthalmology, Inc
• Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC
• Fort Wayne Orthopaedics LLC
• Fort Wayne Orthopaedics LLC
• Fort Wayne Orthopaedics, LLC (Fort Wayne Orthopedics, LLC)

• Ambulatory Surgical Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.