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NPI Code Detail

MEDICARE: DR. NATHANAEL DAVID OGLESBEE O.D.

MEDICARE:  DR. NATHANAEL DAVID OGLESBEE  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist18001832BIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1410004217OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20198900001OTHERINDMERC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316945520
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHANAEL DAVID OGLESBEE O.D.
Provider Business Mailing Address
First Line : 207 E MARKET ST
Second Line :
City : NAPPANEE
State : IN
Zip : 46550-2119
Country : US
Telephone Number : 574-773-4732
Fax Number : 574-773-2164
Provider Business Practice Location Address
First Line : 207 E MARKET ST
Second Line :
City : NAPPANEE
State : IN
Zip : 46550-2119
Country : US
Telephone Number : 574-773-4732
Fax Number : 574-773-2164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 10/21/2014

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Directions to “ DR. NATHANAEL DAVID OGLESBEE O.D.” Practice Location

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