ALFRED C. WERMUTH, O.D.

FORT WAYNE, IN
NPI1194050468
Entity TypeOrganization
Authorized ContactALFRED C. WERMUTH
Owner
260-471-2000
Organization Subpart ?No
Primary Taxonomy332H00000X Eyewear Supplier (Equipment, not the service)
(Licence: IN  18001756B)
Enumeration Date2009-10-05
Last Update Date2009-10-06
Business Address
ALFRED C. WERMUTH, O.D.
1221 MEDICAL PARK DR
FORT WAYNE, IN 46825-5887
Phone number: 260-471-2000
Mailing Address
ALFRED C. WERMUTH, O.D.
1221 MEDICAL PARK DR
FORT WAYNE, IN 46825-5887
Phone number: 260-471-2000