NPI 1104938547

James Lars Wellington, OD

Practitioner Optometrist Goshen, IN

Practice location

Address: 116 W Washington St, Goshen, IN 46526-3729
Phone: (574) 533-7345
Fax: (574) 533-5683

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002859 (IN)

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Registry record

NPI: 1104938547
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 28 Jul 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.