Susan Lynn Eggebrecht in Fort Wayne - Optometrist

Susan Lynn Eggebrecht - NPI 1700857281

Susan Lynn Eggebrecht is a Optometrist in Fort Wayne, Indiana. Susan Lynn Eggebrecht practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Susan Lynn Eggebrecht is 1700857281. The last update date is 2014-03-13.

Susan Lynn Eggebrecht's current location address is 7750 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604599595 and fax number 2604599494. The mailing address for Susan Lynn Eggebrecht is 7750 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Lynn Eggebrecht
Address 7750 W Jefferson Blvd, Fort Wayne, Indiana
Phone Number 2604599595
Fax Number 2604599494
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1700857281
Provider Enumeration Date 2006-01-31
Last Updated Date 2014-03-13

Provider Mailing Address Detail

Address 7750 W Jefferson Blvd
City Fort Wayne
State Indiana (IN)
Post Code 46804
Phone Number 2604599595
Fax Number 2604599494

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 18002378A
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
100464730 IN --

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FAQs about Susan Lynn Eggebrecht

What is the unique identifier code issued to Susan Lynn Eggebrecht by the Centers for Medicare & Medicaid Services?

The Susan Lynn Eggebrecht has been assigned the NPI (National Provider Identifier) 1700857281. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Susan Lynn Eggebrecht's physical address?

The Susan Lynn Eggebrecht is physically located at 7750 W Jefferson Blvd, in the city of Fort Wayne, IN, with the postal code 46804.

What is Susan Lynn Eggebrecht's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Susan Lynn Eggebrecht is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1700857281 to Susan Lynn Eggebrecht?

The Centers for Medicare & Medicaid Services assigned the 1700857281 to Susan Lynn Eggebrecht on 2006-01-31.

As of what date were the Susan Lynn Eggebrecht's details last updated?

The information pertaining to the Susan Lynn Eggebrecht, including its address, specialty, and other details, was most recently updated on 2014-03-13.

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