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DAN LEE FORTENBACHER O.D.
NPI 1760519946
Optometrist - Vision Therapy in St Joseph, MI

Active since February 27, 2007
2908 DIVISION STREET, ST JOSEPH, MI 49085(269) 983-3309(269) 983-0846 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dan Lee Fortenbacher O.d. NPPES

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

DAN LEE FORTENBACHER O.D. (NPI 1760519946) is an individual vision therapy provider in St Joseph, Michigan, licensed in Michigan (4901002693) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1760519946
Entity TypeIndividualMale
Primary Taxonomy152WV0400X
Provider Legal NameDAN LEE FORTENBACHERCredential: O.D.
Location Address2908 DIVISION STREETSt Joseph, MI 49085
Mailing Address2908 Division StreetSt Joseph, MI 49085 · (269) 983-3309 · Fax (269) 983-0846
Phone(269) 983-3309
Fax(269) 983-0846
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMay 20, 2015
✔ NPI 1760519946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in MI · 4901002693
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Also ListedOptometristTaxonomy 152W00000X · License 4901002693 (MI)
2908 DIVISION STREET, St Joseph, MI 49085
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Other Identifiers 5

Medicare PINC20444MI
Medicare NSC0700790001MI
Other900A165280MI · Blue Cross Blue Shield Of Michigan
Medicare UPINT32641MI
Medicare PINA17615002MI

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 Dan Fortenbacher's NPI number?

The NPI number for Dan Fortenbacher is 1760519946. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Dan Fortenbacher located?

Dan Fortenbacher practices at 2908 Division Street, St Joseph, MI 49085. The listed phone number is (269) 983-3309.

What is Dan Fortenbacher's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

When was this NPI record last updated?

The NPPES record for Dan Fortenbacher was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.