NPIMap

Organization Active NPI

Fort Wayne Ophthalmology, Inc

  • Ophthalmology Physician
  • Fort Wayne, IN
National Provider Identifier
1881872919
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FORT WAYNE OPHTHALMOLOGY, INC
Practice address
321 E Wayne St
Fort Wayne, IN 46802-2713
Phone
(260) 424-5656
Fax
(260) 424-4511
NPI assigned
Jan 31, 2008
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

321 E Wayne St
Fort Wayne, IN 46802-2713

Mailing address

321 E Wayne St
Fort Wayne, IN 46802-2713
Phone (260) 424-5656

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1881872919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022713",
            "telephone_number": "260-424-5656",
            "fax_number": "260-424-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022713",
            "telephone_number": "260-424-5656",
            "fax_number": "260-424-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WAYNE OPHTHALMOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "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": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • 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.