Kevin A. Whiteleather in Fort Wayne - Optometrist

Kevin A. Whiteleather - NPI 1497758395

Kevin A. Whiteleather is a Optometrist in Fort Wayne, Indiana. Kevin A. Whiteleather practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kevin A. Whiteleather is 1497758395. The last update date is 2007-10-26.

Kevin A. Whiteleather's current location address is 4201 Lahmeyer Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604866106. The mailing address for Kevin A. Whiteleather is 4201 Lahmeyer Rd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin A. Whiteleather
Address 4201 Lahmeyer Rd, Fort Wayne, Indiana
Phone Number 2604866106
Fax Number
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1497758395
Provider Enumeration Date 2005-05-24
Last Updated Date 2007-10-26

Provider Mailing Address Detail

Address 4201 Lahmeyer Rd
City Fort Wayne
State Indiana (IN)
Post Code 4681556760
Phone Number 2604866106
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 18003140A
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7470288 IN AETNA PROVIDER NUMBER
225758 IN ANTHEM BC/BS PROVIDER NO.

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FAQs about Kevin A. Whiteleather

Could you share the physical location details of Kevin A. Whiteleather?

The Kevin A. Whiteleather is situated at 4201 Lahmeyer Rd, in the city of Fort Wayne, state of IN, with the zip code 4681556760.

Could you please share the complete physical address where Kevin A. Whiteleather is geographically located?

The Kevin A. Whiteleather is physically situated at the following location: 4201 Lahmeyer Rd, Fort Wayne, IN, 4681556760.

What is Kevin A. Whiteleather's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kevin A. Whiteleather is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.

When did Kevin A. Whiteleather receive its 1497758395 assignment?

The Kevin A. Whiteleather was assigned its 1497758395 on 2005-05-24, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1497758395 to Kevin A. Whiteleather?

The Centers for Medicare & Medicaid Services originally issued the 1497758395 to Kevin A. Whiteleather on 2005-05-24.

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