SAMUEL RAY SIMMONS

FORT WAYNE, IN
NPI1295811305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18001933A)
Enumeration Date2006-10-31
Last Update Date2007-07-09
Business Address
-- SAMUEL RAY SIMMONS O.D.
3411 N ANTHONY BLVD
FORT WAYNE, IN 46805-2233
Phone number: 260-482-1707
Mailing Address
-- SAMUEL RAY SIMMONS O.D.
3411 N ANTHONY BLVD
FORT WAYNE, IN 46805-2233
Phone number: 260-482-1707
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