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FORT WAYNE FAMILY EYECARE
NPI 1396778882
Optometrist in Fort Wayne, IN

Active since July 08, 2006
1515 E PAULDING RD, FORT WAYNE, IN 46816(260) 744-2273 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fort Wayne Family Eyecare NPPES

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

FORT WAYNE FAMILY EYECARE (NPI 1396778882) is a healthcare organization registered as an optometrist in Fort Wayne, Indiana and active in the NPI registry since July 2006. The organization lists Mark A Ingle, President, as its authorized official.

NPPES Registry Identity

NPI1396778882
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameFORT WAYNE FAMILY EYECARE
Location Address1515 E PAULDING RDFort Wayne, IN 46816-1252
Mailing Address1515 E Paulding RdFort Wayne, IN 46816-1252 · (260) 744-2273
Phone(260) 744-2273
Organization SubpartNo
Authorized OfficialMark A InglePresident · (260) 744-2273
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 8, 2008
✔ NPI 1396778882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1515 E PAULDING RD, Fort Wayne, IN 46816
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Other Identifiers 4

Medicare ID-Type Unspecified136360IN
Medicaid100277170AIN
Other000000234540IN · Anthem Nonpar
Medicare NSC0258750001IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. BRADLEY S BASHAM O.D.
Optometrist
1515 E PAULDING RD
FORT WAYNE, IN 46816
Allen County (260) 744-2273
DR. PATRICE C ELLINGSON O.D.
Optometrist
1515 E PAULDING RD
FORT WAYNE, IN 46816
Allen County (260) 744-2273

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 Fort Wayne Family Eyecare's NPI number?

The NPI number for Fort Wayne Family Eyecare is 1396778882. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Fort Wayne Family Eyecare located?

Fort Wayne Family Eyecare is located at 1515 E Paulding Rd, Fort Wayne, IN 46816. The listed phone number is (260) 744-2273.

What is Fort Wayne Family Eyecare'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 Fort Wayne Family Eyecare was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.