| Ophthalmology Consultants Of Fort Wayne, P.c. | |
|
7232 Engle Rd, Fort Wayne, IN 46804-2222 | |
| (260) 436-7205 | |
| (260) 432-1339 |
| Full Name | Ophthalmology Consultants Of Fort Wayne, P.c. |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 7232 Engle Rd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861476210 | NPI | - | NPPES |
| 100103080A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 50002512A (Indiana) | Primary |
| Provider Name | Jeffrey D Hudson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831196765 PECOS PAC ID: 0749254365 Enrollment ID: I20040820000313 |
| Provider Name | Dawn D Frederickson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760489009 PECOS PAC ID: 9739271198 Enrollment ID: I20070815000710 |
| Provider Name | Julie A Manry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326000423 PECOS PAC ID: 0345404034 Enrollment ID: I20120608000272 |
| Provider Name | Brian C Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548403074 PECOS PAC ID: 5395985675 Enrollment ID: I20130710000153 |
| Provider Name | Zachary Robert Felger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326657081 PECOS PAC ID: 8628493707 Enrollment ID: I20200806001476 |
| Provider Name | Rachel Marie Kawiecki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184152845 PECOS PAC ID: 3678840279 Enrollment ID: I20210702002013 |
| Provider Name | Kristina Byzyka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124680129 PECOS PAC ID: 1052649852 Enrollment ID: I20230717000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Ophthalmology Consultants Of Fort Wayne, P.c. 7232 Engle Rd, Fort Wayne, IN 46804-2222 Ph: (260) 436-7205 | Ophthalmology Consultants Of Fort Wayne, P.c. 7232 Engle Rd, Fort Wayne, IN 46804-2222 Ph: (260) 436-7205 |