NPI 1043270812

Daniel P Taylor, OD

Practitioner Optometrist Fort Wayne, IN

Practice location

Address: 431 W Coliseum Blvd, Fort Wayne, IN 46805
Phone: (260) 484-8516
Fax: (260) 484-8521
Mailing address: 431 W Coliseum Blvd, Fort Wayne, IN 46805-1010

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002712A (IN)

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Registry record

NPI: 1043270812
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2006
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.