NPI 1023490224

Eric Skorupa, OD

Practitioner Optometrist Fort Wayne, IN

Practice location

Address: 2001 Reed Rd, Fort Wayne, IN 46815
Phone: (260) 426-5663
Fax: (260) 426-5693
Mailing address: PO Box 549, Wabash, IN 46992-0549

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003907 (IN)

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Registry record

NPI: 1023490224
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2015
Record last updated: 15 Aug 2018

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.