Barry J Close Od, Inc. in Fort Wayne - Eyewear Supplier

Barry J Close Od, Inc. - NPI 1912189507

Barry J Close Od, Inc. is a Eyewear Supplier in Fort Wayne, Indiana. Barry J Close Od, Inc. practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Barry J Close Od, Inc. is 1912189507. The last update date is 2008-03-17.

Barry J Close Od, Inc.'s current location address is 2821 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604829514. The mailing address for Barry J Close Od, Inc. is 2821 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Barry J Close Od, Inc.
Address 2821 E State Blvd, Fort Wayne, Indiana
Phone Number 2604829514
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Close Joseph Barry
Credentials OD
Telephone Number 2604829514

NPI Number Detail

NPI Number 1912189507
Provider Enumeration Date 2007-12-05
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 2821 E State Blvd
City Fort Wayne
State Indiana (IN)
Post Code 468054732
Phone Number 2604829514
Fax Number

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 18001912
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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FAQs about Barry J Close Od, Inc.

What is the unique provider identifier assigned to Barry J Close Od, Inc.?

The Barry J Close Od, Inc. has been issued the NPI (National Provider Identifier) 1912189507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Barry J Close Od, Inc. is physically located?

The Barry J Close Od, Inc. is physically situated at the following address: 2821 E State Blvd, Fort Wayne, IN, 468054732.

What is Barry J Close Od, Inc.'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 Barry J Close Od, Inc. is Eyewear Supplier, and the taxonomy classification code that categorizes this area of expertise is 332H00000X.

On what date did the Barry J Close Od, Inc. receive its 1912189507 assignment from the Centers for Medicare & Medicaid Services?

The Barry J Close Od, Inc. was assigned its 1912189507 by the Centers for Medicare & Medicaid Services on 2007-12-05.

When was the information pertaining to Barry J Close Od, Inc. most recently updated or revised?

The details related to Barry J Close Od, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2008-03-17.

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