NPI 1053494328

Jonathan Edward Kintner, OD

Practitioner Optometrist Mishawaka, IN

Practice location

Address: 517 Lincoln Way E, Mishawaka, IN 46544-2211
Phone: (574) 255-3188
Fax: (574) 255-4182

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18001487 (IN)

Other Optometrist providers in Indiana →

Registry record

NPI: 1053494328
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2006
Record last updated: 6 Jun 2008

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.