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DR. KURT W. DOUGHERTY OD
NPI 1295727519
Optometrist in Fort Wayne, IN

Active since August 23, 2005
3401 LAKE AVE, FORT WAYNE, IN 46805(260) 422-6396(260) 420-2258 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kurt W. Dougherty Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KURT W. DOUGHERTY OD (NPI 1295727519) is an individual optometrist in Fort Wayne, Indiana, licensed in Indiana (1800214R) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1295727519
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KURT W. DOUGHERTYCredential: OD
Location Address3401 LAKE AVEFort Wayne, IN 46805-5500
Mailing Address3401 Lake AveFort Wayne, IN 46805-5500 · (260) 422-6396 · Fax (260) 420-2258
Phone(260) 422-6396
Fax(260) 420-2258
Sole ProprietorYes
Enumeration DateAugust 23, 2005
Last NPPES UpdateJune 18, 2008
✔ NPI 1295727519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 1800214R
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3401 LAKE AVE, Fort Wayne, IN 46805
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Other Identifiers 4

Medicare ID-Type Unspecified191220
Medicare NSC0155420001IN
Medicaid100103980AIN
Medicare UPINT69207

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE D TAYLOR OD
Optometrist
3401 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-3095
STEVEN ISON
Optometrist
3401 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-3095
OSSIP OPTOMETRY, PC
Optometrist
3401 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-3095
DR. HEATHER ELIZABETH STERRETT OD
Optometrist
3401 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-3095
DR. MARIAH FAITH LUCAS-BURDEN OD
Optometrist
3401 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-2258
LINH NGUYEN BUI OD
Optometrist
3401 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-3095
MADELINE HOBBIE
Optometrist
3401 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-3095
GEORGE D TAYLOR OD PC
Optometrist
3401 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-3095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kurt Dougherty's NPI number?

The NPI number for Kurt Dougherty is 1295727519. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Kurt Dougherty located?

Kurt Dougherty practices at 3401 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 422-6396.

What is Kurt Dougherty's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Kurt Dougherty was last updated on June 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.