Michael James Bangert in Fort Wayne - Optometrist

Michael James Bangert - NPI 1629124151

Michael James Bangert is a Optometrist in Fort Wayne, Indiana. Michael James Bangert practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael James Bangert is 1629124151. The last update date is 2013-07-30.

Michael James Bangert's current location address is 4626 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604325502 and fax number 2604328415. The mailing address for Michael James Bangert is 4626 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael James Bangert
Address 4626 W Jefferson Blvd, Fort Wayne, Indiana
Phone Number 2604325502
Fax Number 2604328415
Sole Proprietor N
Credentials MICHAEL BA

NPI Number Detail

NPI Number 1629124151
Provider Enumeration Date 2007-01-26
Last Updated Date 2013-07-30

Provider Mailing Address Detail

Address 4626 W Jefferson Blvd
City Fort Wayne
State Indiana (IN)
Post Code 468046826
Phone Number 2604325502
Fax Number 2604328415

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 18001776B
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
410005869 IN RETIRED RAILROAD MEDICARE

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FAQs about Michael James Bangert

What is the unique identification code assigned to Michael James Bangert by the Centers for Medicare & Medicaid Services?

The Michael James Bangert has been issued the NPI (National Provider Identifier) 1629124151. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Michael James Bangert's facilities are situated?

The facilities of Michael James Bangert are physically located at the following address: 4626 W Jefferson Blvd, Fort Wayne, IN, 468046826.

What is Michael James Bangert's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael James Bangert is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date was the 1629124151 assigned to Michael James Bangert?

The Michael James Bangert was issued its 1629124151 on 2007-01-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Michael James Bangert's information last updated?

The Michael James Bangert's information was last updated on 2013-07-30.

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