Whalio Doctors

NPI 1023098589

George D Taylor, OD

Practitioner Optometrist Fort Wayne, IN

Practice location

Address
3401 Lake Ave, Fort Wayne, IN 46805-5500
Phone
(260) 426-3095
Fax
(260) 420-2258

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002045A (IN)

Registry record

NPI
1023098589
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jan 2006
Record last updated
5 Dec 2007

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.