NPI 1003816943

Martin R. White, OD

Practitioner Optometrist Fort Wayne, IN

Practice location

Address: 6110 Maplecrest Rd, Fort Wayne, IN 46835-2524
Phone: (260) 486-8833
Fax: (260) 486-8784

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002542B (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1003816943
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2005
Record last updated: 24 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.