NPI 1245198696

Jesse Dominguez

Practitioner Technician/Technologist Fort Wayne, IN

Practice location

Address: 7970 W Jefferson Blvd, Fort Wayne, IN 46804-4140
Phone: (260) 435-6100
Mailing address: 1131 Sinclair St, Fort Wayne, IN 46808-2647

Registered specialties

Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156F00000X Licence 67047515A (IN)

Other Technician/Technologist providers in Indiana →

Registry record

NPI: 1245198696
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2026
Record last updated: 14 Jan 2026

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.